Campbell Suzanne, Delva Dianne
Department of Family Medicine, Queen's University, Kingston, Ont.
Can Fam Physician. 2003 Sep;49:1121-7.
To assess how many residents follow the recommendation that physicians have a personal family physician and where residents seek medical attention when needed.
Hand-delivered survey. SETTING Residency training programs at Queen's University.
Of 215 residents with a central mailbox, 122 responded (response rate 57%).
Health status, usual access to health care, having a personal family physician, and response to two scenarios.
More than a third (38%) of residents have a local family physician, yet 25% of those with chronic illnesses and 40% of those who use prescription medications regularly do not. Many rely on colleagues; 41% have received prescriptions from or written prescriptions for their colleagues. Residents with local family physicians are more likely to seek appropriate medical attention for physical problems. Residents do not recognize or seek treatment for mental health problems. Knowledge, time, and accessibility were considered barriers to adequate health care.
Many residents do not have good access to comprehensive, confidential, and objective medical care. They rely on colleagues, and they ignore mental health problems. Lack of time and access, and attitudes about the importance of having a family physician are important barriers.
评估有多少住院医师遵循医生应有个人家庭医生的建议，以及住院医师在需要时会去哪里寻求医疗服务。
人工发放调查问卷。地点：女王大学的住院医师培训项目。
在215名设有中央邮箱的住院医师中，122人回复（回复率57%）。
健康状况、通常获得医疗服务的途径、拥有个人家庭医生的情况以及对两种情景的反应。
超过三分之一（38%）的住院医师有当地家庭医生，但患有慢性病的住院医师中有25%以及经常使用处方药的住院医师中有40%没有。许多人依赖同事；41%的人从同事那里获得过处方或给同事开过处方。有当地家庭医生的住院医师更有可能因身体问题寻求适当的医疗服务。住院医师没有认识到或寻求治疗心理健康问题。知识、时间和可及性被认为是获得充分医疗服务的障碍。
许多住院医师无法获得全面、保密和客观的医疗服务。他们依赖同事，并且忽视心理健康问题。时间和可及性的缺乏以及对拥有家庭医生重要性的态度是重要障碍。
