Andersen F, Forsdahl A, Herder O, Aaraas I J
Institutt for samfunnsmedisin Universitetet i Tromsø 9037 Tromsø.
Tidsskr Nor Laegeforen. 2001 Sep 30;121(23):2732-5.
Recruitment of general practitioners to Northern Norway has failed during the last few years, especially in municipalities with a population of less than 4,000, though some small municipalities have maintained a stable medical service. What are the differences between municipalities with stable and unstable services?
A questionnaire was mailed to the medical officers of the 89 municipalities in Northern Norway, with questions on the structure and organisation of the medical service, and factors influencing doctors' professional life and quality of life in general.
Answers from 62 municipalities were included. Municipalities with unstable services had longer distances to the nearest hospital, and doctors in these municipalities reported heavier work-load and professional isolation.
A combination of factors concerning the structure and organisation of the primary health care seem to cause the increased difficulties in the unstable communities, hence they should have a potential for improvement.
在过去几年中，挪威北部招募全科医生的工作一直未能成功，尤其是在人口不足4000人的市镇，不过一些小市镇维持了稳定的医疗服务。服务稳定和不稳定的市镇之间有哪些差异？
向挪威北部89个市镇的医务人员邮寄了一份问卷，内容涉及医疗服务的结构和组织，以及影响医生职业生活和总体生活质量的因素。
纳入了62个市镇的回复。服务不稳定的市镇距离最近的医院更远，这些市镇的医生报告工作量更大且职业孤立感更强。
与初级卫生保健的结构和组织相关的多种因素似乎导致了不稳定社区面临更多困难，因此这些社区有改进的潜力。
