Simeonsson Kristina, Olsson John, Dhepyasuwan Nui, Drutz Jan, Benun Jacques, Serwint Janet R
J Grad Med Educ. 2014 Jun;6(2):264-9. doi: 10.4300/JGME-D-13-00251.1.
The personal health practices of residents and their access to health care has not been well explored. Suboptimal personal health care habits and practices among many physicians may evolve during residency.
To identify the nature and extent of pediatrics resident health care use and the factors that restrict or facilitate use.
A web-based survey was sent to pediatrics residents from 19 continuity practice sites enrolled in the nationwide Continuity Research Network (CORNET) during April through June 2010. Outcome measures included self-report of health care use, involvement in an established care relationship with a primary care provider, and barriers residents encountered in receiving care.
Of 1210 eligible residents, 766 (63%) completed the survey. Respondents were 73% women; each postgraduate training year was equally represented. More than one-half of residents (54%) stated they had an established care relationship (ECR) with a primary care provider. Interns were less likely to have an ECR when compared with upper level residents; female residents were twice as likely to have an ECR compared with male residents. Although 22% (172 of 766) of the respondents reported they had a chronic health condition, only 69% (118 of 172) of those individuals had an established care provider. The most significant barrier to obtaining health care was resident concern for time away from work and the potential increased workload for colleagues.
A slight majority of pediatrics residents stated they had an established relationship with a primary care provider. The most common barriers to seeking routine and acute care were work related.
居民的个人健康行为及其获得医疗保健的情况尚未得到充分研究。许多医生在住院医师培训期间可能会形成不太理想的个人医疗保健习惯和行为。
确定儿科住院医师医疗保健使用的性质和程度以及限制或促进使用的因素。
2010年4月至6月期间，向来自19个连续性实践点、参加全国连续性研究网络（CORNET）的儿科住院医师发送了一项基于网络的调查。结果指标包括医疗保健使用的自我报告、与初级保健提供者建立护理关系的情况以及居民在接受护理时遇到的障碍。
在1210名符合条件的住院医师中，766名（63%）完成了调查。受访者中73%为女性；每个研究生培训年级的代表人数均等。超过一半的住院医师（54%）表示他们与初级保健提供者建立了护理关系（ECR）。与高年级住院医师相比，实习医师建立ECR的可能性较小；女性住院医师建立ECR的可能性是男性住院医师的两倍。尽管22%（766人中的172人）的受访者报告他们患有慢性健康状况，但这些人中只有69%（172人中的118人）有固定的护理提供者。获得医疗保健的最主要障碍是住院医师担心耽误工作时间以及同事的工作量可能增加。
略超过半数的儿科住院医师表示他们与初级保健提供者建立了关系。寻求常规和急症护理的最常见障碍与工作有关。
