葡萄牙初级保健住院医师对门诊医疗中心生产力的影响：一项横断面研究。
Impact of the primary care residents on the productivity of the ambulatory health centres in Portugal: a cross-sectional study.
机构信息
UCSP Cantanhede, ACeS Baixo Mondego, ARS Centro, Coimbra, Portugal.
ACeS Sintra, ARS Lisboa E Vale Do Tejo, Queluz, Portugal.
出版信息
BMC Med Educ. 2022 Jun 16;22(1):465. doi: 10.1186/s12909-022-03528-y.
BACKGROUND
The presence of residents in Primary Care health centres may influence their operational results.
AIM
To examine the relationship between the presence of residents and the results of the evaluation in Portuguese Primary Care Health Centres.
METHODS
We conduct a cross-sectional study, comparing the results achieved by the mainland Portuguese Primary Care Health Centres measured by the Global Performance Index (Índice de desempenho global - IDG) by the presence of General & Family Medicine residents in training. Analysis took into consideration the distribution by region and typology of the health centres.
RESULTS
We evaluated 906 units, 55.7% involved in the training of General & Family Medicine residence. The presence of residents was associated with higher Global Performance Index values (77.3 vs 57.6; p < 0.001). The higher difference was found in the less developed Personalized Health Care Units and in the region of Lisbon and Tagus Valley.
CONCLUSION
The presence of residents in training is a contributing factor in the productivity of the Primary Health Care facilities. It may model the asymmetry in the performance of Portuguese Health Centres.
背景
基层医疗保健中心的住院医师的存在可能会影响其运营结果。
目的
探讨葡萄牙基层医疗保健中心住院医师的存在与评估结果之间的关系。
方法
我们进行了一项横断面研究，比较了由培训中的全科医学住院医师参与的葡萄牙大陆基层医疗保健中心的全球绩效指数（Índice de desempenho global - IDG）的评估结果。分析考虑了按地区和保健中心类型的分布。
结果
我们评估了 906 个单位，其中 55.7%参与了全科医学住院医师培训。住院医师的存在与更高的全球绩效指数值相关（77.3 与 57.6；p<0.001）。在欠发达的个性化医疗保健单位和里斯本和塔古斯河谷地区发现了更高的差异。
结论
培训中的住院医师的存在是基层医疗保健设施生产力的一个促成因素。它可能会影响葡萄牙医疗中心绩效的不平衡。
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