Department of Family and Community Medicine, Chair of Clinical Sciences, Faculty of Biomedical Sciences and Postgraduate Education, Medical University of Lodz, Lodz, Poland.
Arch Med Sci. 2010 Apr 30;6(2):208-13. doi: 10.5114/aoms.2010.13897.
In Poland, the National Health Fund (NHF) has contracted preventative interventions in primary health care (PHC) delivered by family physicians, internists, paediatricians and other physicians. The aim of the study was determining whether there is a correlation between PHC physicians' specialisation and the rate of interventions delivered for the prevention of cardiovascular disease (CVD) and chronic obstructive pulmonary disease (COPD).
A retrospective observational study of the NHF 2005 data related to the delivery of prevention programmes using Spearman's rank correlation coefficient (rho).
Out of 133 PHC providers in Lodz, 25 participated in the cardiovascular disease (CVD) prevention programme, 22 in the chronic obstructive pulmonary disease (COPD) prevention programme at a basic level, and 20 at an extended level (with contract completion rates respectively of 55.2, 47.8 and 51.5%). When all three prevention programmes were analysed together, the correlation between the rate of preventative interventions by physicians with a particular specialisation and the contract completion rate was positive (rho > 0) only for family physicians.
Participation of primary health care providers in preventative programmes and the rates of their delivery of interventions were low despite additional funding. The correlation between the proportion of physicians with a particular specialisation, involved in CVD and COPD prevention interventions delivery, and the rate of the programme accomplishment was the strongest for family physicians.
在波兰，国家卫生基金（NHF）已将初级卫生保健（PHC）中的预防干预措施承包给家庭医生、内科医生、儿科医生和其他医生。本研究的目的是确定 PHC 医生的专业是否与心血管疾病（CVD）和慢性阻塞性肺疾病（COPD）预防干预措施的实施率之间存在相关性。
对 NHF 2005 年与使用 Spearman 等级相关系数（rho）实施预防计划相关的数据进行回顾性观察研究。
在罗兹的 133 名 PHC 提供者中，有 25 名参与了心血管疾病（CVD）预防计划，22 名参与了慢性阻塞性肺疾病（COPD）基础预防计划，20 名参与了扩展预防计划（合同完成率分别为 55.2%、47.8%和 51.5%）。当同时分析所有三个预防计划时，具有特定专业的医生实施预防干预措施的比率与合同完成率之间的相关性仅对家庭医生为正（rho>0）。
尽管有额外的资金，但初级卫生保健提供者参与预防计划的比例和他们实施干预措施的比率都很低。对于家庭医生来说，参与 CVD 和 COPD 预防干预措施实施的具有特定专业的医生比例与该计划完成率之间的相关性最强。
