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旨在防止全科医生短缺的国际措施综合目录。

Comprehensive catalogue of international measures aimed at preventing general practitioner shortages.

作者信息

Stigler Florian L, Zipp Carolin R, Jeitler Klaus, Semlitsch Thomas, Siebenhofer Andrea

机构信息

Austrian health insurance fund, Health Center (ÖGK) - Styria, Graz, Austria.

Medical University of Graz, Institute of General Practice and Evidence-Based Health Services Research, Graz, Austria.

出版信息

Fam Pract. 2021 Nov 24;38(6):793-801. doi: 10.1093/fampra/cmab045.

Abstract

BACKGROUND

Many countries are facing a shortage and misallocation of general practitioners (GPs). The development of a policy response may benefit from the knowledge of worldwide policies that have been adopted and recommended to counteract such a development.

AIM

To identify measures proposed or taken internationally to prevent GP shortages.

DESIGN AND SETTING

A literature review followed by an expert assessment focussed on sources from OECD countries.

METHOD

The literature search identified international policy documents and literature reviews in bibliographical databases, and examined institutional websites and references of included publications. The internet search engine Google was also used. The resulting measures were then assessed for completeness by three experts.

RESULTS

Ten policy documents and 32 literature reviews provided information on 102 distinct measures aimed at preventing GP shortages. The measures attempt to influence GPs at all stages of their careers.

CONCLUSIONS

This catalogue of measures to prevent GP shortages is significantly more comprehensive than any of the policy documents it is based on. It may serve as a blueprint for effective reforms aimed at preventing GP shortages internationally.

摘要

背景

许多国家正面临全科医生短缺和分配不当的问题。制定政策应对措施可能受益于对已采用和推荐的全球范围内应对此类情况的政策的了解。

目的

确定国际上为防止全科医生短缺而提议或采取的措施。

设计与背景

文献综述,随后是聚焦经合组织国家来源的专家评估。

方法

文献检索在书目数据库中识别国际政策文件和文献综述,并检查机构网站及纳入出版物的参考文献。还使用了互联网搜索引擎谷歌。然后由三位专家评估所得措施的完整性。

结果

十份政策文件和32篇文献综述提供了有关旨在防止全科医生短缺的102项不同措施的信息。这些措施试图在全科医生职业生涯的各个阶段对其产生影响。

结论

这份防止全科医生短缺的措施目录比其所基于的任何政策文件都要全面得多。它可作为旨在在国际上防止全科医生短缺的有效改革的蓝图。

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