Talbot Y, Fuller-Thomson E, Tudiver F, Habib Y, McIsaac W J
Department of Family and Community Medicine, University of Toronto (U of T), Ontario.
Can Fam Physician. 2001 Jan;47:58-64.
Because having a regular medical doctor is associated with positive outcomes, this study attempted to determine the characteristics of Canadians without regular doctors so that alternative methods of delivering care to people with those characteristics can be studied.
Secondary data analysis of the National Population Health Survey using bivariate analyses and logistic regression.
A total of 15,777 respondents older than 20 years.
Responses to the question "Do you have a regular medical doctor?" and analysis of 11 variables covering demographics, health status, and lifestyle factors.
One in seven respondents did not have a regular doctor. Younger respondents, men, single people, poorer respondents, respondents who perceived themselves in better health, recent immigrants, those without confidants, and smokers were more likely not to have regular doctors. Comparing provinces, participants from Quebec were least likely to have regular doctors.
Primary care reform might need to consider alternative ways of providing care to certain people. Future primary care programs could be targeted to improve coverage of relatively underserviced people, particularly men, people on low incomes, those without confidants, and recent immigrants.
由于拥有一名固定的医生与积极的结果相关，本研究试图确定没有固定医生的加拿大人的特征，以便能够研究针对具有这些特征的人群提供护理的替代方法。
使用双变量分析和逻辑回归对全国人口健康调查进行二次数据分析。
总共15777名年龄超过20岁的受访者。
对“你有一名固定的医生吗？”这一问题的回答，以及对涵盖人口统计学、健康状况和生活方式因素的11个变量的分析。
七分之一的受访者没有固定医生。较年轻的受访者、男性、单身人士、较贫困的受访者、自认为健康状况较好的受访者、新移民、没有知己的人以及吸烟者更有可能没有固定医生。比较各省情况，魁北克省的参与者拥有固定医生的可能性最小。
初级保健改革可能需要考虑为某些人群提供护理的替代方式。未来的初级保健项目可以针对改善服务相对不足人群的覆盖范围，特别是男性、低收入人群、没有知己的人以及新移民。
