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专注于肿瘤学的家庭医生:全国调查结果。

Family physicians who have focused practices in oncology: results of a national survey.

机构信息

CancerCare Manitoba, 675 McDermot Ave, Room ON2076, Winnipeg, MB R3E 0V9, Canada.

出版信息

Can Fam Physician. 2013 Jun;59(6):e290-7.

PMID:23766068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3681472/
Abstract

OBJECTIVE

To characterize the demographic characteristics, practice profile, and current work life of general practitioners in oncology (GPOs) for the first time.

DESIGN

National Web survey performed in March 2011.

SETTING

Canada.

PARTICIPANTS

Members of the national GPO organization. Respondents were asked to forward the survey to non-member colleagues.

MAIN OUTCOME MEASURES

Profile of work as GPOs and in other medical roles, training received, demographic characteristics, and professional satisfaction.

RESULTS

The response rate was 73.3% for members of the Canadian Association of General Practitioners in Oncology; overall, 120 surveys were completed. Respondents worked in similar proportions in small and larger communities. About 60% of them had participated in formal training programs. Most respondents worked part-time as GPOs and also worked in other medical roles, particularly palliative care, primary care practice, teaching, and hospital work. More GPOs from cities with populations of greater than 100 000 worked solely as GPOs than those from smaller communities (P = .0057). General practitioners in oncology played a variety of roles in the cancer care system, particularly in systemic therapy, palliative care, inpatient care, and teaching. As a group, more than half of respondents were involved in the care of each of the 11 common cancer types. Overall, 87.8% of respondents worked in outpatient care, 59.1% provided inpatient care, and 33.0% provided on-call services; 92.8% were satisfied with their work as GPOs.

CONCLUSION

General practitioners in oncology are involved in all cancer care settings and usually combine this work with other roles, particularly with palliative care in rural Canada. Training is inconsistent but initiatives are under way to address this. Job satisfaction is better than that of Canadian FPs in general. As generalists, FPs bring a valuable skill set to their work as GPOs in the cancer care system.

摘要

目的

首次描述肿瘤学普通医师(GPOs)的人口统计学特征、实践概况和当前工作生活。

设计

2011 年 3 月进行的全国网络调查。

地点

加拿大。

参与者

国家 GPO 组织的成员。要求受访者将调查转发给非成员同事。

主要观察指标

作为 GPO 和其他医疗角色的工作概况、接受的培训、人口统计学特征和专业满意度。

结果

加拿大肿瘤学普通医师协会成员的回复率为 73.3%;共有 120 份调查完成。受访者在小社区和大社区的工作比例相似。约 60%的人参加过正规培训计划。大多数受访者兼职担任 GPO,并从事其他医疗角色,特别是姑息治疗、初级保健实践、教学和医院工作。来自人口超过 10 万的城市的 GPO 比来自较小社区的 GPO 更有可能全职担任 GPO(P =.0057)。肿瘤学普通医师在癌症护理系统中扮演着各种角色,特别是在系统治疗、姑息治疗、住院护理和教学方面。作为一个群体,超过一半的受访者参与了 11 种常见癌症类型的每一种治疗。总体而言,87.8%的受访者从事门诊护理工作,59.1%提供住院护理,33.0%提供随叫随到服务;92.8%的受访者对作为 GPO 的工作感到满意。

结论

肿瘤学普通医师参与所有癌症护理环境,通常将这项工作与其他角色相结合,特别是在加拿大农村地区与姑息治疗相结合。培训不一致,但正在采取措施解决这一问题。工作满意度优于加拿大普通家庭医生的总体满意度。作为通才,家庭医生在癌症护理系统中作为 GPO 工作时带来了有价值的技能。

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