Preston Hanna, Miller Dawn
Department of Women's and Children's Health, Dunedin School of Medicine, PO Box 913, Dunedin, New Zealand.
N Z Med J. 2012 Mar 30;125(1352):39-47.
To investigate the perceptions of final year medical students' (known as trainee interns or TIs) at the University of Otago about maternity care in general practice, their possible future roles in general practice maternity care, and factors influencing this.
An anonymous questionnaire using the online programme SurveyMonkey was emailed to the 227 Otago University TIs. Results were analysed using SurveyMonkey statistical analysis.
The response rate was 50.7%. About 90% of the TIs thought GPs should provide antenatal and postnatal care, 80.7% supported shared care and 55.7% thought GPs should provide full maternity care if interested and trained to do so. Almost 80% thought women should have access to full maternity care in general practice. If practicing as a GP 90% or more of respondents would consider providing prenatal, early pregnancy, antenatal, postnatal care, or shared care and 64.0% full maternity care. Of the 29 TIs (25.2%) who had seen a GP practicing full maternity care 82.8% would consider offering this level of care if practicing as a GP. And 68.3% of the 65 TIs interested in a rural general practice career would consider providing full maternity care. Issues of training, professional support, funding and continuity of care for patients were important factors in contemplating providing full maternity care.
TIs are interested in providing a wide range of maternity services if practicing as a GP. Many professional and lifestyle issues could influence our future doctors when deciding whether to practice maternity care in general practice.
调查奥塔哥大学最后一年医学生(即实习医生或TI)对全科医疗中孕产妇护理的看法、他们未来在全科医疗孕产妇护理中可能扮演的角色以及影响这一情况的因素。
通过在线程序SurveyMonkey向227名奥塔哥大学实习医生发送了一份匿名调查问卷。使用SurveyMonkey统计分析对结果进行分析。
回复率为50.7%。约90%的实习医生认为全科医生应提供产前和产后护理,80.7%支持共同护理,55.7%认为如果有兴趣并经过培训,全科医生应提供全面的孕产妇护理。近80%的人认为女性应能在全科医疗中获得全面的孕产妇护理。如果作为全科医生执业,90%或更多的受访者会考虑提供产前、早孕、产前、产后护理或共同护理,64.0%会提供全面的孕产妇护理。在29名(25.2%)见过全科医生提供全面孕产妇护理的实习医生中,82.8%表示如果作为全科医生执业,会考虑提供这种护理水平。在65名对农村全科医疗职业感兴趣的实习医生中,68.3%会考虑提供全面的孕产妇护理。培训、专业支持、资金和患者护理的连续性等问题是考虑提供全面孕产妇护理的重要因素。
如果作为全科医生执业,实习医生有兴趣提供广泛的孕产妇服务。在决定是否在全科医疗中从事孕产妇护理工作时,许多专业和生活方式问题可能会影响我们未来的医生。