Engström Sven, Arvidsson Eva, André Malin, Borgquist Lars
med dr, specialist i allmänmedicin, Primärvårdens FoU-enhet, Futurum, Region Jönköpings län.
docent, specialist i allmänmedicin, institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
Lakartidningen. 2021 May 25;118:21026.
In Swedish primary care patients are registered at health centres where different professions, such as general practitioners (GPs), nurses, assistant nurses, counsellors, physiotherapists, psychologists and biomedical analysts, work. In an international comparison personal physician continuity is low in Sweden. Several governmental inquiries propose that patients register with one GP or a care team. Do Swedish GPs want a personal patient list and how should this best be realised? A web survey was distributed to the members of the Swedish Union of General Practitioners and was answered by 838 GPs. 91% wanted a personal patient list if reasonably sized, the option to limit their list, and shared responsibility for the list with colleagues or a team. To be able to plan the working day themselves and designated time for collegial dialogue was considered essential for increased efficiency, well-being and reduced risk of patients harm due to their doctor's knowledge gaps.
在瑞典的初级医疗保健体系中，患者在健康中心进行注册，这里有不同专业的人员工作，如全科医生（GP）、护士、助理护士、顾问、物理治疗师、心理学家和生物医学分析师。在国际比较中，瑞典的个人医生连续性较低。几项政府调查建议患者注册一位全科医生或一个护理团队。瑞典的全科医生想要一份个人患者名单吗？以及如何才能最好地实现这一点呢？一项网络调查被分发给瑞典全科医生联盟的成员，838名全科医生进行了回复。91%的人表示，如果患者名单规模合理、有能力限制名单，并且能与同事或团队共同负责这份名单，他们想要一份个人患者名单。能够自行规划工作日以及安排同事间对话的指定时间，被认为对于提高效率、增进幸福感以及降低因医生知识缺口而对患者造成伤害的风险至关重要。
