Oandasan Ivy, Malik Rebecca, Waters Ian, Lambert-Lanning Anita
Family Health Centre, Department of Family and Community Medicine, University Health Network-Toronto Western Hospital, ON.
Can Fam Physician. 2004 Jul;50:1004-10.
To explore how primary care physicians respond to a community's needs and challenges.
Qualitative study using focus groups.
Fee-for-service practices or community health centres in downtown Toronto, Ont.
Purposive sample of 21 community family physicians (10 women and 11 men).
Participants were invited to join focus groups of four to six physicians. Themes were derived from qualitative analysis of the data using grounded theory.
Three major themes were identified by these community-responsive physicians: they carry out specific roles (collaborator, health educator, advocate, resource, and tailor of care); they face several challenges, including lack of funding and a dysfunctional health care system; and they share common beliefs about practising medicine. Whether current health care structures support physicians to actually carry out these roles in practice, however, is unclear.
This study increased understanding of how primary care physicians respond to community needs and what they experience in the process.
探讨基层医疗医生如何应对社区的需求和挑战。
采用焦点小组的定性研究。
安大略省多伦多市中心的按服务收费诊所或社区健康中心。
21名社区家庭医生的目的性样本（10名女性和11名男性）。
邀请参与者加入由四至六名医生组成的焦点小组。通过扎根理论对数据进行定性分析得出主题。
这些响应社区需求的医生确定了三个主要主题：他们履行特定角色（协作者、健康教育者、倡导者、资源提供者和护理定制者）；他们面临若干挑战，包括资金短缺和功能失调的医疗保健系统；他们对行医有共同信念。然而，目前的医疗保健结构是否支持医生在实践中实际履行这些角色尚不清楚。
本研究增进了对基层医疗医生如何应对社区需求以及他们在此过程中所经历情况的理解。
