Department of Family Medicine, College of Medicine, Myongji Hospital, Hanyang university, 697-24 Hwajung-dong, Deokyang-gu, Gyeonggi-do, 412-270, South Korea.
BMC Fam Pract. 2020 May 8;21(1):82. doi: 10.1186/s12875-020-01154-5.
In the approximately 35 years since family medicine was established in South Korea, family medicine physicians have sought to expand their expertise to cover clinical fields beyond primary medicine. This study examines their working status and compares the working conditions of family medicine physicians in clinics and hospitals in Korea.
We conducted an online survey with 4057 family medicine physicians in Korea in 2016. The results were analyzed using descriptive statistics.
Of the respondents, 572 doctors were working in clinics and 441 in hospitals. In the analysis of treatment pattern by doctors, the rate of chronic disease management was 84.7% in clinics and 93.4% in hospitals (p < 0.001), and the rate of diseases covered by national insurance was 74.8% in clinics and 76.9% in hospitals (p = 0.005). Among physicians younger than 40 years, the rate of chronic disease management and diseases covered by national insurance were 64.6 and 68.0% in clinics and 93.6 and 78.5% in hospitals, retrospectively.
Family medicine physicians working in hospitals have higher rates of chronic disease management and diseases covered by national insurance. This discrepancy of treatment pattern became larger for doctors younger than 40 years. More in-depth studies of the treatment pattern and its tendencies between family medicine physicians in clinics and hospitals are needed in the future.
自家庭医学在韩国建立以来的大约 35 年中，家庭医生一直致力于扩大其专业知识，以涵盖初级医学以外的临床领域。本研究考察了他们的工作状况，并比较了韩国诊所和医院的家庭医生的工作条件。
我们于 2016 年对韩国的 4057 名家庭医生进行了在线调查。使用描述性统计方法对结果进行分析。
在应答者中，572 名医生在诊所工作，441 名医生在医院工作。在按医生治疗模式进行的分析中，慢性病管理率在诊所为 84.7%，在医院为 93.4%（p<0.001），国家保险涵盖的疾病率在诊所为 74.8%，在医院为 76.9%（p=0.005）。在 40 岁以下的医生中，慢性病管理和国家保险涵盖的疾病的比率分别为诊所的 64.6%和 68.0%，医院的 93.6%和 78.5%（回顾性）。
在医院工作的家庭医生慢性病管理和国家保险涵盖的疾病的比率较高。对于年龄在 40 岁以下的医生，这种治疗模式的差异更大。未来需要对诊所和医院的家庭医生的治疗模式及其趋势进行更深入的研究。
