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评估印度家庭医学的现状:聚焦资质与执业模式。

Assessing the landscape of family medicine in India: A focus on qualification and practice patterns.

作者信息

Dasappa Hemavathi, Kubendra Mohan, Jose Namiya, Kaimal Resmi S, Boobna Vandana, Ramya S

机构信息

Department of Family Medicine, St John's Medical College, Bangalore, Karnataka, India.

President, Spandana Health Care, AFPI, India.

出版信息

J Family Med Prim Care. 2025 Jun;14(6):2193-2200. doi: 10.4103/jfmpc.jfmpc_1709_24. Epub 2025 Jun 30.

DOI:10.4103/jfmpc.jfmpc_1709_24
PMID:40726656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12296303/
Abstract

AIMS AND OBJECTIVES

Describe the demographic and professional profiles of the family physicians. 1. To study the factors associated with practice patterns.

METHODOLOGY

It is a cross-sectional, questionnaire-based study. The questionnaire included demographic and professional profiles of the family physicians.

INCLUSION CRITERIA

  1. Doctors practising as family physicians, who do not hold a postgraduate degree in Family Medicine (those with MBBBS or post-MBBS fellowships or diplomas in FM through distance education) and 2. Doctors practising as family physicians, who hold an NMC-recognised postgraduate degree or diploma in Family Medicine (MD, DNB or DFM-NBEMS). Results and.

CONCLUSIONS

The majority of family physicians in India are young, female doctors, concentrated more in the urban area, and the majority have an experience lesser than 15 years, reflecting the recent growth in the number of family physicians. 1. 59.66% of family physicians are engaged in community practice. Community practitioners are predominantly male. 70% practise the entire spectrum of general practice with 80% having a good referral system and 33.6% earning more than 1 lakh. 2. 40% of family physicians are engaged in hospital practice. Hospital practice doctors are predominantly females, 50% practise the entire spectrum of general practice, and 58.69% earn more than 1 lakh per month. 3. 56% of the family physicians have a master degree. Family physicians with a master degree are predominately female, 58% of them are into hospital practice, their practices are well equipped, 55.29% practise the entire spectrum, and 52.9% earn more than 1 lakh per month. 4. There is independent association of practice type with number of working hours, area of practice, in-patient services, and qualification. 5. There is independent association of qualification with gender, years of experience, area of practice, practice type, and income more than 1 lakh per month.

摘要

目的与目标

描述家庭医生的人口统计学特征和职业概况。1. 研究与执业模式相关的因素。

方法

这是一项基于问卷的横断面研究。问卷包括家庭医生的人口统计学特征和职业概况。

纳入标准

  1. 作为家庭医生执业的医生,未持有家庭医学研究生学位(那些拥有MBBBS学位或MBBBS后奖学金或通过远程教育获得的家庭医学文凭的医生);2. 作为家庭医生执业的医生,持有国家医学委员会认可的家庭医学研究生学位或文凭(医学博士、国家医学委员会认证的专科医生或国家家庭与初级卫生保健研究所的家庭医学文凭)。结果与……

结论

印度的大多数家庭医生是年轻的女性医生,更多集中在城市地区,且大多数从业经验少于15年,这反映了家庭医生数量最近的增长。1. 59.66%的家庭医生从事社区执业。社区执业医生主要为男性。70%的人从事全科医疗全领域工作,80%有良好的转诊系统,33.6%的人月收入超过10万卢比。2. 40%的家庭医生从事医院执业。医院执业医生主要为女性,50%从事全科医疗全领域工作,58.69%的人月收入超过10万卢比。3. 56%的家庭医生拥有硕士学位。拥有硕士学位的家庭医生主要为女性,其中58%从事医院执业,他们的执业配备完善,55.29%从事全科医疗全领域工作,52.9%的人月收入超过10万卢比。4. 执业类型与工作时长、执业地区、住院服务和资质存在独立关联。5. 资质与性别、从业年限、执业地区、执业类型以及月收入超过10万卢比存在独立关联。

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本文引用的文献

1
Need of the Hour: Family Medicine in India.当下的需求:印度的家庭医学
Cureus. 2022 Apr 29;14(4):e24596. doi: 10.7759/cureus.24596. eCollection 2022 Apr.
2
Professional satisfaction of family physicians working in primary healthcare centers: A comparison of two Saudi regions.在初级医疗保健中心工作的家庭医生的职业满意度:沙特两个地区的比较。
J Family Med Prim Care. 2018 Sep-Oct;7(5):1019-1025. doi: 10.4103/jfmpc.jfmpc_6_18.
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Canadian family physician job satisfaction - is it changing in an evolving practice environment? An analysis of the 2013 National Physician Survey database.
加拿大家庭医生的工作满意度——在不断演变的执业环境中它是否正在发生变化?对2013年全国医生调查数据库的分析。
BMC Fam Pract. 2018 Jun 23;19(1):100. doi: 10.1186/s12875-018-0786-6.
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The dire need for primary care specialization in India: Concerns and challenges.印度对初级保健专业化的迫切需求:问题与挑战。
J Family Med Prim Care. 2016 Apr-Jun;5(2):228-233. doi: 10.4103/2249-4863.192382.
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Determinants of Indian physicians' satisfaction & dissatisfaction from their job.印度医生工作满意度与不满情绪的决定因素。
Indian J Med Res. 2014 Mar;139(3):409-17.
6
Family Medicine at AIIMS (All India Institute of Medical Sciences) Like Institutes.全印医学科学研究所(AIIMS)及类似机构的家庭医学
J Family Med Prim Care. 2012 Jul;1(2):81-3. doi: 10.4103/2249-4863.104925.
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Burnout and satisfaction with work-life balance among US physicians relative to the general US population.与美国普通人群相比,美国医生的职业倦怠与工作生活平衡满意度情况。
Arch Intern Med. 2012 Oct 8;172(18):1377-85. doi: 10.1001/archinternmed.2012.3199.
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Job satisfaction among primary care physicians: results of a survey.初级保健医生的工作满意度:一项调查的结果。
Dtsch Arztebl Int. 2012 Mar;109(11):193-200. doi: 10.3238/arztebl.2012.0193. Epub 2012 Mar 16.