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除了医疗保险,全科医生还从事哪些其他工作?

Apart from Medicare, what other work do GPs do?

作者信息

Field Deborah, Ward Alison M, Lopez Derrick G

机构信息

Fremantle Regional General Practice Network, Western Australia.

出版信息

Aust Fam Physician. 2003 Jun;32(6):476-80.

Abstract

BACKGROUND

Although Australian general practitioners are increasingly being encouraged to perform more non-Medicare funded work, little is known about the its extent or nature.

METHOD

A cross sectional survey was sent to all 2107 potential GPs in Western Australia.

RESULTS

The response rate was 480/1807 (27%). Nearly all GPs (95%) performed paid or unpaid non-Medicare work; 83% cared with non-Medicare payment for patients, averaging 6.5 hours per week. Paid nonpatient work (an average 4.3 hours per week, undertaken by 41% of GPs) was for divisions, teaching and research. Unpaid work was approximately 3.7 hours per week for patients, (mostly informal consultations and voluntary work) and 1.9 hours per week for nonpatient related activities (principally research, meetings and teaching). Overall GPs were satisfied with their job but were dissatisfied with government intrusion. The type and amount of non-Medicare funded work performed was not related to job satisfaction.

CONCLUSION

General practitioners are involved in non-Medicare funded work to the extent of an average of 9.5 hours per week, including teaching, research and divisional activities.

摘要

背景

尽管澳大利亚的全科医生越来越多地被鼓励从事更多非医疗保险资助的工作,但对其范围和性质知之甚少。

方法

对西澳大利亚州的所有2107名潜在全科医生进行了横断面调查。

结果

回复率为480/1807(27%)。几乎所有全科医生(95%)都从事有偿或无偿的非医疗保险工作;83%为患者提供非医疗保险付费护理,平均每周6.5小时。有偿非患者工作(41%的全科医生平均每周从事4.3小时)包括部门工作、教学和研究。无偿工作中,为患者提供的约为每周3.7小时(主要是非正式咨询和志愿工作),与非患者相关活动的约为每周1.9小时(主要是研究、会议和教学)。总体而言,全科医生对自己的工作感到满意,但对政府干预不满。所从事的非医疗保险资助工作的类型和数量与工作满意度无关。

结论

全科医生平均每周参与非医疗保险资助工作的时间为9.5小时,包括教学、研究和部门活动。

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