Goodyear-Smith Felicity, Janes Ron
Department of General Practice and Primary Health Care, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Aust J Rural Health. 2008 Feb;16(1):40-6. doi: 10.1111/j.1440-1584.2007.00949.x.
To obtain a 2005 snapshot of New Zealand (NZ) rural primary health care workforce, specifically GPs, general practice nurses and community pharmacists.
Postal questionnaires, November 2005.
NZ-wide rural general practices and community pharmacies.
Rural general practice managers, GPs, nurses, community pharmacy managers and pharmacists.
Self-reported data: demographics, country of training, years in practice, business ownership, hours worked including on-call, intention to leave rural practice.
General practices: response rate 95% (206/217); 70% GP-owned, practice size ranged from one GP/one nurse to 12 GPs/nine nurses. PHARMACIES: Response rate 90% (147/163). Majority had one (33%) or two (32%) pharmacists; <10% had more than three pharmacists. GPs: response rate 64% (358/559), 71% male, 73% aged >40, 61% full-time, 79% provide on-call, 57% overseas-trained, 78% male and 57% female GPs aged >40; more full-time male GPs (76%) than female (37%) . Nurses: response rate 65% (445/685), 97% female, 72% aged >40, 31% full-time, 28% provide on-call, 84% NZ-trained, 45% consulted independently in 'nurse-clinics' within practice setting. Pharmacists: response rate 96% (248/258), 52% male, 66% aged >40, 71% full-time, 33% provide on-call, 92% NZ-trained, 55% sole/partner pharmacy owners. Many intend to leave NZ rural practice within 5 years: GPs (34%), nurses (25%) and pharmacists (47%).
This is the first NZ-wide rural workforce survey to include a range of rural primary health care providers (GPs, nurses and pharmacists). Ageing rural primary health care workforce and intentions to leave herald worsening workforce shortages.
获取2005年新西兰农村初级卫生保健劳动力的概况,特别是全科医生、全科护士和社区药剂师的情况。
2005年11月邮寄问卷调查。
新西兰全国范围内的农村全科诊所和社区药房。
农村全科诊所经理、全科医生、护士、社区药房经理和药剂师。
自我报告数据:人口统计学信息、培训国家、从业年限、业务所有权、工作时长(包括随叫随到值班时间)、离开农村执业的意向。
全科诊所:回复率95%(206/217);70%为全科医生所有,诊所规模从1名全科医生/1名护士到12名全科医生/9名护士不等。药房:回复率90%(147/163)。大多数有1名(33%)或2名(32%)药剂师;不到10%有3名以上药剂师。全科医生:回复率64%(358/559),71%为男性,73%年龄超过40岁,61%为全职,79%提供随叫随到服务,57%接受过海外培训,78%的男性和57%的女性全科医生年龄超过40岁;全职男性全科医生(76%)多于女性(37%)。护士:回复率65%(445/685),97%为女性,72%年龄超过40岁,31%为全职,28%提供随叫随到服务,84%在新西兰接受培训,45%在诊所的“护士诊所”独立问诊。药剂师:回复率96%(248/258),52%为男性,66%年龄超过40岁,71%为全职,33%提供随叫随到服务,92%在新西兰接受培训,55%为独立/合伙药房所有者。许多人打算在5年内离开新西兰农村执业:全科医生(34%)、护士(25%)和药剂师(47%)。
这是首次在新西兰全国范围内对一系列农村初级卫生保健提供者(全科医生、护士和药剂师)进行的劳动力调查。农村初级卫生保健劳动力老龄化以及离开意向预示着劳动力短缺将加剧。