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参与非工作时间紧急服务的普通全科医生越来越少。

[Fewer regular general practitioners participate in out-of-hours emergency services].

作者信息

Otterlei Bjørn, Bentzen Niels

机构信息

Legekontoret Molde Brygge, Julsundveien 2, 6412 Molde.

出版信息

Tidsskr Nor Laegeforen. 2007 May 17;127(10):1351-3.

Abstract

BACKGROUND

The aim of the study was to determine whether the official numbers of regular general practitioners (GPs) participating in out-of-hours duty have been correct.

METHOD

Data were collected from the Norwegian labour and welfare organisation's (NAV's) regular GP database. This is a database with information collected from Statistics Norway and the Norwegian Social Science Data Services.

RESULTS

The study has revealed an error in one of the sources used by the national health authorities to evaluate the regular GP Scheme "Fastlegeordningen". Official figures indicate that the number of regular GPs who participate in out-of-hours duty increased with 5% the first three years after implementation of the regular GP Scheme (2001-2004). New analyses show that the number of regular GPs instead decreased with 12%.

INTERPRETATION

Our study uncovers weaknesses with the quality assurance of data used by the health authorities to calculate the work force needed for out-of-hours duty. This misinformation may have prevented action needed to recruit regular GPs to work in the out-of-hours emergency services, as the problem has not been recognised.

摘要

背景

本研究的目的是确定参与非工作时间值班的普通全科医生(GP)的官方人数是否正确。

方法

数据收集自挪威劳动和福利组织(NAV)的普通全科医生常规数据库。这是一个从挪威统计局和挪威社会科学数据服务中心收集信息的数据库。

结果

该研究揭示了国家卫生当局用于评估普通全科医生计划“Fastlegeordningen”的其中一个数据来源存在错误。官方数据表明,在普通全科医生计划实施后的头三年(2001 - 2004年),参与非工作时间值班的普通全科医生人数增加了5%。新的分析显示,普通全科医生人数反而减少了12%。

解读

我们的研究发现了卫生当局用于计算非工作时间值班所需劳动力的数据质量保证方面存在的弱点。由于问题未被识别,这些错误信息可能阻碍了招募普通全科医生参与非工作时间紧急服务所需的行动。

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