选择有限：一份关于全科医生获得服务情况的报告。
Limited options: a report on GP access to services.
作者信息
Ní Shúilleabháin A, O'Kelly M, O'Kelly F, O'Dowd T
机构信息
Department of Public Health and Primary Care, Trinity College Centre for Health Sciences, AMNCH, Tallaght, Dublin 24, Ireland.
出版信息
Ir J Med Sci. 2007 Mar;176(1):27-32. doi: 10.1007/s11845-007-0006-1.
BACKGROUND
The Structure of Irish General Practice over 23 years was the third in a series of national studies that examined the development of general practice in 1982, 1992, and 2005.
AIMS
This study analysed specific data from the 2005 survey to determine the types of services offered by GPs, and to examine the changes in access to diagnostic/treatment services from 1982 to 2005.
METHODS
A questionnaire was sent to a stratified random sample of Irish GPs seeking information on their practice.
RESULTS
476 (87%) valid questionnaires were returned. The range of services offered by GPs had increased. Access to diagnostic/treatment services was limited, and varied considerably depending on the type of practice. Access to chest X-rays and skeletal X-rays had decreased.
CONCLUSIONS
Access to existing services must be increased, and significant resources must be put into the development of dedicated primary care services.
背景
《23年爱尔兰全科医疗结构》是一系列全国性研究中的第三项，这些研究考察了1982年、1992年和2005年全科医疗的发展情况。
目的
本研究分析了2005年调查的具体数据，以确定全科医生提供的服务类型，并考察1982年至2005年期间获得诊断/治疗服务的变化情况。
方法
向爱尔兰全科医生的分层随机样本发送了一份问卷，以获取有关他们执业情况的信息。
结果
共收回476份（87%）有效问卷。全科医生提供的服务范围有所增加。获得诊断/治疗服务的机会有限，且因执业类型不同而有很大差异。获得胸部X光和骨骼X光检查的机会有所减少。
结论
必须增加现有服务的可及性，并且必须投入大量资源发展专门的初级保健服务。
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