Lambert Trevor W, Smith Fay, Goldacre Michael J
UK Medical Careers Research Group, Unit of Health-Care Epidemiology, Nuffield Department of Population Health, University of Oxford, Oxford.
Br J Gen Pract. 2017 Apr;67(657):e238-e247. doi: 10.3399/bjgp17X689893. Epub 2017 Mar 13.
It is current UK policy to expand the numbers of newly qualified doctors entering training to become GPs, to meet increased demand.
To report on trends in young doctors' views on the attractiveness of general practice as a career, compared with hospital practice.
Questionnaire surveys in the UK.
Surveys of doctors, 3 years after graduation, conducted in successive year-of-qualification cohorts between 1999 and 2015.
The overall response rate from contactable doctors was 55%. In response to the statement , 59% of doctors agreed in the 1999 survey, 77% in 2005, and only 36% in 2015. One-third of doctors agreed that their exposure to general practice had been insufficient for them to assess it as a career option, but this improved over time: agreement fell from 39% in 1999 to 28% in 2015. As a factor influencing specialty choice, enthusiasm for, and commitment to, the specialty was rated as very important by 65% of intending GPs in 2015, up from 49% in 1999; the corresponding figures for intending hospital doctors were 91% in 2015, up from 61% in 1999.
Over the 16 years covered by this study, the attractiveness of general practice has fallen relative to hospital practice. This may not necessarily reflect a decline in attractiveness of general practice in absolute terms; rather, it may reflect a greater increase, over time, in the appeal of hospital practice.
英国当前的政策是增加新获得资格的医生进入培训以成为全科医生的人数，以满足不断增长的需求。
报告年轻医生对全科医疗作为一种职业的吸引力与医院医疗相比的看法趋势。
英国的问卷调查。
对1999年至2015年间连续毕业年份队列的医生在毕业后3年进行调查。
可联系到的医生的总体回复率为55%。对于“ ”这一陈述，1999年调查中有59%的医生表示同意，2005年为77%，而2015年仅为36%。三分之一的医生认为他们对全科医疗的接触不足以让他们将其作为一种职业选择来评估，但这一情况随着时间有所改善：表示同意的比例从1999年的39%降至2015年的28%。作为影响专科选择的一个因素，对该专科的热情和投入在2015年被65%的意向全科医生评为非常重要，高于1999年的49%；意向医院医生的相应比例在2015年为91%，高于1999年的61%。
在本研究涵盖的16年中，全科医疗相对于医院医疗的吸引力有所下降。这不一定反映全科医疗绝对吸引力的下降；相反，它可能反映出随着时间推移医院医疗的吸引力有更大幅度的提升。
