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[基层医疗专业人员焦虑的原因。住院医师与带教老师的比较]

[Reasons for anxiety in primary care professionals. A resident-tutor comparison].

作者信息

Saura Llamas J, Leal Hernández M, García Méndez M M, López Piñera M, Ferrer Mora A, de la Viesca Cosgrove S

机构信息

Centro de Salud Barrio del Carmen, Murcia.

出版信息

Aten Primaria. 1997 Jul-Aug;20(3):142-6.

PMID:9303674
Abstract

OBJECTIVES

  1. To find the reasons for PC professionals' anxiety when going about their normal work. 2) To check whether training and experience affect the assessment of the reasons of Family Doctors for anxiety.

DESIGN

A descriptive study using a questionnaire.

SETTING

PC health centres with second-year family and community medicine (FCM) residents from the Murcia Teaching Unit.

PARTICIPANTS

All second-year FCM residents from the Teaching Unit (28) in December 1995 and their tutors.

MEASUREMENTS

Open questionnaire based on three points: Causes of anxiety in on-demand consultations; causes of anxiety in scheduled consultations; other reasons for anxiety connected with the Health Centre.

RESULTS

The three most anxiety-producing causes in relation to each question were: a) on-demand consultation: residents (R)--unfinishable consultations, lack of time, clinical problems; tutors (T)--unfinishable consultations, a lot of patients waiting outside, manipulative patients. b) Scheduled consultation: R--clinical problems, consultation too long, difficulties in reaching a solution; T--consultation too long, patients without an appointment and interruptions in the middle of the consultation. c) Other reasons for anxiety: R--not being off the day after being on call, having to do research work, and emergency calls; T--emergency calls, research work and temperature problems.

CONCLUSIONS

Clinical problems are the causes of anxiety with the greatest difference between tutors and residents. Regulated training in the health centre and professional experience seem to act positively on some of the causes of anxiety.

摘要

目的

1)找出初级保健专业人员在日常工作中感到焦虑的原因。2)检查培训和经验是否会影响家庭医生对焦虑原因的评估。

设计

采用问卷调查的描述性研究。

地点

穆尔西亚教学单位的初级保健健康中心,有二年级家庭与社区医学(FCM)住院医师。

参与者

1995年12月该教学单位的所有二年级FCM住院医师(28名)及其导师。

测量方法

基于三点的开放式问卷:按需诊疗中的焦虑原因;预约诊疗中的焦虑原因;与健康中心相关的其他焦虑原因。

结果

与每个问题相关的三个最容易产生焦虑的原因分别是:a)按需诊疗:住院医师(R)——诊疗无法完成、时间不足、临床问题;导师(T)——诊疗无法完成、很多患者在外面等候、爱摆布人的患者。b)预约诊疗:R——临床问题、诊疗时间过长、难以得出解决方案;T——诊疗时间过长、无预约患者以及诊疗过程中被打断。c)其他焦虑原因:R——值班后无休息日、必须做研究工作以及紧急呼叫;T——紧急呼叫、研究工作和温度问题。

结论

临床问题是导师和住院医师之间焦虑差异最大的原因。在健康中心进行规范培训和专业经验似乎对某些焦虑原因有积极作用。

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[The economic and labor impact of no staff replacement in primary care. Why and how we should measure it].[初级保健中不进行人员替换的经济和劳动力影响。为何以及如何进行衡量]
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[What do patients think of our health centers? Would they change anything? The situation at the beginning of the 21st century].
患者如何看待我们的健康中心?他们会做出改变吗?21世纪初的情况
Aten Primaria. 2000 Mar 31;25(5):364. doi: 10.1016/s0212-6567(00)78519-2.