Department of Public Health and Primary Care, Trinity College Centre for Health Sciences, AMiNCH, Tallaght, Trinity College Dublin, Ireland.
Health Place. 2010 Nov;16(6):1077-83. doi: 10.1016/j.healthplace.2010.06.011. Epub 2010 Jul 23.
The aim of this study was to describe the distribution of GP services in Ireland with respect to deprivation. Seven percent of rural inhabitants live within walking distance of the nearest GP compared to 89% of city dwellers. The longest average travel times occur in the most deprived rural areas. The variation in travel times across deprivation scores was modest, particularly in city, town and village areas. The highest workloads were observed in the most deprived urban areas. The current distribution of GPs in Ireland is relatively equitable although the most deprived practices have high workloads or appear to be overstretched. Incentives may be required to increase service provision in these highly deprived areas.
本研究旨在描述爱尔兰的全科医生服务分布情况,以了解其与贫困程度的关系。与城市居民相比,7%的农村居民居住在距离最近的全科医生步行可达的范围内。在最贫困的农村地区,平均出行时间最长。在不同贫困程度的地区,出行时间的差异不大,尤其是在城市、城镇和村庄地区。工作量最高的地区是最贫困的城市地区。虽然最贫困的实践地区工作量大或似乎不堪重负,但爱尔兰目前的全科医生分布相对公平。可能需要激励措施来增加这些高度贫困地区的服务提供。