Liseckiene Ida, Boerma Wienke G W, Milasauskiene Zemyna, Valius Leonas, Miseviciene Irena, Groenewegen Peter P
Kaunas University of Medicine, Institute for Biomedical Research, Kaunas, Lithuania.
Health Policy. 2007 Sep;83(1):105-13. doi: 10.1016/j.healthpol.2006.11.011. Epub 2007 Jan 19.
The study aimed, firstly, to assess changes in the service profile of primary care physicians between 1994, when features of the Soviet health system prevailed, and 2004, when retraining of GPs was completed. Secondly, to compare service profiles among current GPs, taking into account their positions before being retrained.
A cross-sectional repeated measures study was conducted among district therapists and district pediatricians in 1994 and GPs in 2004. A questionnaire was used containing identical items on the physicians' involvement in curative and preventive services. The response rates in both years were 87% and 73%, respectively.
In 2004, physicians had much more office contacts with patients than in 1994. Modest progress was made with the provision of technical procedures. Involvement in disease management was also stronger in 2004 than in 1994, particularly among former pediatricians. Involvement in screening activities remained stable among former therapists and increased among former pediatricians. At present, GPs who used to be therapists provide a broader range of services than ex pediatricians. GPs from the residency programme hold an intermediate position.
Lithuanian GPs have taken up new tasks but variation can be reduced. The health care system is still in the midst of transition.
本研究旨在，首先，评估1994年（当时苏联卫生系统的特征仍占主导）至2004年（全科医生再培训完成时）初级保健医生服务概况的变化。其次，考虑到当前全科医生再培训前的职位，比较他们之间的服务概况。
1994年对地区治疗师和地区儿科医生以及2004年对全科医生进行了一项横断面重复测量研究。使用了一份问卷，其中包含关于医生参与治疗和预防服务的相同项目。两年的回应率分别为87%和73%。
2004年，医生与患者的门诊接触比1994年多得多。在提供技术程序方面取得了一定进展.2004年参与疾病管理的程度也比1994年更强，尤其是在前儿科医生中。前治疗师参与筛查活动保持稳定，前儿科医生参与筛查活动有所增加。目前，过去是治疗师的全科医生提供的服务范围比前儿科医生更广。来自住院医师培训项目的全科医生处于中间位置。
立陶宛的全科医生承担了新的任务，但差异可以减少。医疗保健系统仍处于转型之中
