Schers Henk, van de Ven Caroline, van den Hoogen Henk, Grol Richard, van den Bosch Wil
Department of General Practice, University Medical Centre St Radboud, Nijmegen, The Netherlands.
Fam Med. 2004 Jan;36(1):51-4.
Continuity of care in family medicine is under pressure due to an increase in part-time work, delegation of tasks, and the development of walk-in centers. It is uncertain to what extent newly qualified professionals value personal continuity. Insight into trainees' views may be helpful for training purposes and for improving continuity of care for patients in the future. We explored trainees' views on continuity for hypothetical scenarios and related these to personal characteristics and trainers' views.
We sent a questionnaire to all trainees and trainers of the eight family medicine training institutes in The Netherlands.
The response rate was 595/1048 (57%) for trainees and 478/776 (62%) for trainers. Trainees attached more importance to continuity than trainers. Both highly valued continuity for serious problems, such as discussing the future when seriously ill (99% and 97%, respectively) and valued it low for minor problems, such as an episode of flu (14% and 6%, respectively). Trainees' views were barely related to the views of their personal trainers and to personal characteristics such as age, gender, and training faculty to a minor extent only.
The new generation of professionals still value continuity of care. It may remain one of the basic features of general practice in the future.
由于兼职工作增加、任务委托以及即时诊疗中心的发展，家庭医学中的连续性医疗面临压力。新获得资格的专业人员对个人连续性的重视程度尚不确定。了解实习医生的观点可能有助于培训，并在未来改善患者的连续性医疗。我们探讨了实习医生对假设情景下连续性的看法，并将其与个人特征和带教老师的观点相关联。
我们向荷兰八家家庭医学培训机构的所有实习医生和带教老师发送了一份问卷。
实习医生的回复率为595/1048（57%），带教老师的回复率为478/776（62%）。实习医生比带教老师更重视连续性。双方都高度重视严重问题的连续性，例如在重病时讨论未来（分别为99%和97%），而对轻微问题，如流感发作的连续性重视程度较低（分别为14%和6%）。实习医生的观点与他们个人带教老师的观点几乎没有关联，仅在很小程度上与年龄、性别和培训学院等个人特征有关。
新一代专业人员仍然重视连续性医疗。未来它可能仍是全科医疗的基本特征之一。
