Pirkis J, Montalto M
NHMRC National Centre for Health Program Evaluation.
Aust Fam Physician. 1995 Jun;24(6):1026-8.
The authors review General Practitioners in Hospitals, a report prepared by the School of Medical Education, University of New South Wales (1993) for the Australian Health Ministers' Advisory Council Medical Workforce Group on Hospital Training and Career Development. The authors acknowledge that this report represents the most comprehensive look at GP involvement in hospitals across Australia, but suggest that its conclusion 'general practitioners play a substantial role in the provision of medical care in public hospitals around Australia' may be an overstatement. They discuss shortcomings associated with the study, including: definitional issues; variation in levels of involvement according to hospital type; potential biases introduced by using self-report of hospital administrators as the source of data; insufficient emphasis being placed on the views of GPs; and the validity of extrapolations.
作者们回顾了《医院中的全科医生》这份报告,该报告由新南威尔士大学医学教育学院于1993年为澳大利亚卫生部长咨询委员会医疗劳动力小组关于医院培训与职业发展而编写。作者们承认这份报告对全科医生参与澳大利亚各地医院事务进行了最为全面的审视,但认为其结论“全科医生在澳大利亚公立医院的医疗服务提供中发挥着重要作用”可能有些夸大。他们讨论了该研究存在的不足之处,包括:定义问题;不同类型医院参与程度的差异;将医院管理人员的自我报告作为数据来源所引入的潜在偏差;对全科医生观点的重视不足;以及推断的有效性。