Department of Community Health Sciences, University of Calgary, 3330 Hospital Dr NW, Calgary, AB T2N 4N1.
Can Fam Physician. 2009 Nov;55(11):1102-1103.e5.
To explore the boundaries and overlap of practice profiles of primary care physicians (PCPs), including FPs and GPs, and community medicine specialists (CMs), particularly in the area of community-oriented clinical care.
Analysis of data from the 2004 National Physician Survey. Analyses included frequencies, cross-tabulations, and chi(2) statistics.
Canada.
Primary care physicians and CMs who responded to the 2004 National Physician Survey.
For PCPs and CMs, we compared main work and patient care settings, areas of professional activity, and credentials to practise public health or family medicine. Among CMs, we examined the most commonly treated conditions and services provided for evidence of community-oriented clinical care.
Data were available for 154 CMs and 11 041 PCPs. The most common work setting for CMs was government or public health agencies, while for PCPs it was offices, clinics, or community care settings, including community hospitals. Among CMs, 59.7% indicated that community medicine or public health practice was an area of professional activity and 13.0% indicated that they participated in primary care. The corresponding proportions for PCPs were 15.3% and 78.2%, respectively. Generally, CMs engaged in a mixture of individual-level and population-level practice activities, although the former was not distinguished by increased clinical prevention, health promotion, or disease prevention services. Of CMs who indicated that primary care was an area of professional activity, 55.0% had the relevant credentials, compared with only 1.9% of PCPs who conversely indicated that community medicine or public health was an area of professional activity.
In Canada CMs and PCPs have distinct practice profiles, despite some overlaps. Further role and practice profile refinement for both physician groups has implications for training, credentialing, and deployment within the health care system.
探讨初级保健医生（包括家庭医生和全科医生）和社区医学专家的实践领域的界限和重叠，特别是在以社区为导向的临床护理方面。
对 2004 年全国医生调查的数据进行分析。分析包括频率、交叉表和卡方检验。
加拿大。
对 2004 年全国医生调查做出回应的初级保健医生和社区医学专家。
对于 PCPs 和 CMs，我们比较了主要工作和患者护理环境、专业活动领域以及从事公共卫生或家庭医学实践的资质。在 CMs 中，我们检查了最常见的治疗条件和提供的服务，以证明以社区为导向的临床护理。
数据可用于 154 名 CMs 和 11041 名 PCPs。CMs 最常见的工作场所是政府或公共卫生机构，而 PCPs 的工作场所是办公室、诊所或社区护理场所，包括社区医院。CMs 中有 59.7%表示社区医学或公共卫生实践是其专业活动领域之一，13.0%表示他们参与初级保健。相应的 PCPs 比例分别为 15.3%和 78.2%。一般来说，CMs 从事个人层面和人群层面的实践活动的混合，尽管前者并未通过增加临床预防、健康促进或疾病预防服务来区分。在表示初级保健是其专业活动领域之一的 CMs 中，有 55.0%具有相关资质，而在表示社区医学或公共卫生是其专业活动领域之一的 PCPs 中，这一比例仅为 1.9%。
在加拿大，CMs 和 PCPs 的实践领域存在明显差异，尽管存在一些重叠。进一步细化这两个医生群体的角色和实践领域，对培训、认证和在医疗保健系统中的部署具有影响。
