Lewis Gregory A, Pegram Robert W
Commonwealth Department of Health and Ageing, Furzer Street, Woden, ACT 2606, Australia.
Med J Aust. 2002 Jul 15;177(2):84-6. doi: 10.5694/j.1326-5377.2002.tb04674.x.
To examine the demographic changes in the cohort of general practitioners servicing residential aged-care facilities (RACFs) from 1984 to 2000.
Quantitative analysis of Medicare datasets from 1984 to 2000.
All GPs who provided Medicare-claimed RACF services from 1984 to 2000.
Aggregate data on RACF GPs by age group and sex; total and average number of RACF services by GP age group and sex.
The proportion of RACF GPs younger than 35 years has declined from a peak of 30.2% in 1986 to 11.5% in 2000. GPs aged 45 years and older made up 58.1% of all RACF GPs in 2000, compared with 41.4% in 1984. In 2000, 28.4% of RACF GPs were female, compared with 13.5% in 1984. The proportion of RACF services provided by GPs younger than 35 years fell from 19.2% in 1984 to 4.5% in 2000, and the proportion provided by GPs aged 45 years and older increased from 54.7% to 72.4%. Female GPs' RACF services as a proportion of all RACF services increased from 8.9% to 15.9% between 1984 and 2000, but the average number of RACF services per female GP declined by 15.6 services per year. In contrast, the average number of RACF services per male GP increased by 11.2 per year. The increasing rate of RACF servicing by older GPs is independent of female GPs' declining involvement.
Our results suggest an increasing reliance on older, male GPs in the supply of RACF services. Although the proportion of female RACF GPs has increased, average services by these GPs, who are generally younger, has declined. The personal and work preferences of female GPs may have implications for future RACF services supply as older, generally male, GPs retire.
研究1984年至2000年为老年护理机构（RACF）提供服务的全科医生群体的人口结构变化。
对1984年至2000年医疗保险数据集进行定量分析。
1984年至2000年期间所有申领医疗保险的为RACF提供服务的全科医生。
按年龄组和性别划分的RACF全科医生汇总数据；按全科医生年龄组和性别划分的RACF服务总数及平均数。
35岁以下的RACF全科医生比例从1986年的峰值30.2%降至2000年的11.5%。45岁及以上的全科医生在2000年占所有RACF全科医生的58.1%，而1984年为41.4%。2000年，28.4%的RACF全科医生为女性，1984年为13.5%。35岁以下的全科医生提供的RACF服务比例从1984年的19.2%降至2000年的4.5%，45岁及以上的全科医生提供的服务比例从54.7%增至72.4%。1984年至2000年期间，女性全科医生的RACF服务占所有RACF服务的比例从8.9%增至15.9%，但每位女性全科医生的RACF服务平均数每年下降15.6次。相比之下，每位男性全科医生的RACF服务平均数每年增加11.2次。年长的全科医生提供RACF服务的增长率与女性全科医生参与度下降无关。
我们的研究结果表明，在RACF服务供应方面，对年长男性全科医生的依赖日益增加。尽管女性RACF全科医生的比例有所上升，但这些通常较年轻的全科医生的平均服务量却有所下降。随着年长的（通常为男性）全科医生退休，女性全科医生的个人和工作偏好可能会对未来RACF服务供应产生影响。
