Rowan Margo S, Lawson Beverley, MacLean Cathy, Burge Frederick
Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Fam Med. 2002 Nov-Dec;34(10):744-9.
Family medicine preceptorships are crucial to educating future physicians, but there is a lack of research on how well preceptors are following the principles of primary care. This study used the Primary Care Assessment Tool (PCAT)-Provider Edition to determine how well medical preceptors provide quality medical care.
A total of 134 family medicine preceptors in the Maritime provinces of Canada answered questions about their practice behaviors, along with background information about themselves, their practice, and their practice population.
The highest scores were for "coordination: integration of care," and the lowest were for "cultural competence." PCAT scores improved with the number of patients seen weekly. Scores for first contact accessibility were higher for females and for those with 11-20 years experience as a preceptor, who saw more patients weekly, and in urban centers. "Longitudinality: relationship" scores were higher among those with at least 11 years of practice experience and who saw more patients weekly. "Community orientation" scores were higher for preceptors who saw more patients weekly and accepted new patients. "Cultural competence" scores were higher for preceptors with a culturally diverse practice population and who accepted new patients. "Coordination: integration of care" scores were higher among rural practices. "Coordination: medical records continuity" scores were higher in practices with less than 5 years' experience.
Maritime preceptors report providing quality primary care, and the PCAT can be used to benchmark the quality of primary care provided by preceptors.
家庭医学带教对培养未来医生至关重要，但关于带教老师遵循初级保健原则的情况缺乏研究。本研究使用初级保健评估工具（PCAT）-提供者版来确定医学带教老师提供优质医疗服务的程度。
加拿大海洋省份的134名家庭医学带教老师回答了有关其执业行为的问题，以及关于他们自己、其执业情况和其服务人群的背景信息。
得分最高的是“协调：医疗服务整合”，得分最低的是“文化能力”。PCAT得分随每周看诊患者数量的增加而提高。女性、担任带教老师11至20年、每周看诊患者更多以及在城市中心工作的带教老师，首次接触可及性得分更高。执业经验至少11年且每周看诊患者更多的带教老师，“纵向性：关系”得分更高。每周看诊患者更多且接收新患者的带教老师，“社区导向”得分更高。服务人群文化背景多样且接收新患者的带教老师，“文化能力”得分更高。农村执业机构的“协调：医疗服务整合”得分更高。执业经验少于5年的机构，“协调：病历连续性”得分更高。
海洋省份的带教老师报告称提供了优质的初级保健服务，PCAT可用于衡量带教老师提供的初级保健服务质量。
