Carlisle R, Johnstone S
Nottingham University, Department of General Practice, Queens Medical Centre.
BMJ. 1996 Aug 24;313(7055):468-71. doi: 10.1136/bmj.313.7055.468.
To investigate the extent of problems in recruiting general practitioners and to determine which practice characteristics affect recruitment--in particular, to see if practices with deprived patients have more recruitment problems.
Postal questionnaire survey in August 1995.
489 consecutive practices that had advertised for a partner in the BMJ from January to April 1995.
The number of applicants, the practices, satisfaction with their quantity and quality, and whether a successful appointment was made.
442 (90%) practices replied. 262 practices (60%) were not very satisfied or very dissatisfied with the number of applications they received; 15 (3%) received no applications. There was a significant difference in the number of applications received by practices in different NHS regions. The 32 practices with the highest proportions of patients eligible for deprivation payments received a median of five applicants compared with 10 for practices without deprivation.
There is a widespread problem in recruiting general practitioners. Recruitment is hardest in areas with the greatest health needs.
调查招聘全科医生时存在问题的程度,并确定哪些执业特征会影响招聘——特别是,了解服务贫困患者的诊所是否存在更多招聘问题。
1995年8月进行邮寄问卷调查。
1995年1月至4月期间在《英国医学杂志》上刊登招聘合伙人广告的489家连续执业诊所。
申请人数量、诊所对申请人数量和质量的满意度,以及是否成功招聘到合适人选。
442家(90%)诊所回复。262家诊所(60%)对收到的申请数量不太满意或非常不满意;15家(3%)未收到任何申请。不同国民健康服务体系(NHS)地区的诊所收到的申请数量存在显著差异。有资格领取贫困补贴的患者比例最高的32家诊所,收到的申请中位数为5份,而没有贫困患者的诊所收到的申请中位数为10份。
招聘全科医生存在普遍问题。在健康需求最大的地区,招聘工作最为困难。