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Su Q, Hu D, Lin X, Zhao T. Preparing future general practitioners: the effects of individual, familial, and institutional characteristics. BMC Med Educ 2023; 23:850. [PMID: 37946150 PMCID: PMC10636867 DOI: 10.1186/s12909-023-04857-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 11/07/2023] [Indexed: 11/12/2023]
Abstract
BACKGROUND There is a substantially increasing need for general practitioners (GPs) for future unpredictable pandemic crises, especially at the community-based health services (CBHS) level to protect the vast and varied grassroot-level population in China. Thus, it is crucial to understand the factors that affect Chinese medical students' GP career choices and commitments to CBHS. METHODS Leveraging the self-administered data collected across the country, this study conducted logistic regressions with 3,438 medical students. First, descriptive statistics of outcome variables and independent variables were provided. Then, stepwise logistic regression models were built, starting from adding individual characteristics, and then familial and institutional characteristics. Last, post-estimation was conducted to further assess whether there were significant marginal effects. RESULTS Results showed that women students were 24% less likely to choose GP careers but were 1.25 times more likely to commit to CBHS than their men peers, holding other individual, familial, and institutional characteristics constant. In addition, students who major in GP-orientated were more likely to choose GP careers and commit to CBHS, respectively, than those who major in clinical medicine. Furthermore, familial characteristics like annual income and mother's educational level only significantly predicted commitments to CBHS. Notably, sex-related differences in GP career choices and commitments to CBHS - by different regions - were observed. CONCLUSIONS Understanding the factors that affect medical students' GP career choices sheds light on how medical education stakeholders can make informed decisions on attracting more medical students to GP-orientated majors, which in turn cultivates more GP professionals to meet the nation's demand for GPs. In addition, by understanding the factors that influence medical students' commitment to CBHS, policymakers could make beneficial policies to increase medical students' motivations to the grassroot-level health institutions, and devote to CBHS as gatekeepers for a large population of residents' health.
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Affiliation(s)
- Qiang Su
- Zhejiang Academy of Higher Education, Hangzhou Dianzi University, Hangzhou, 310018, China
| | - Dan Hu
- China Center for Health Development Studies, Peking University, Beijing, 100083, China
| | - Xiaoru Lin
- School of Marxism, Hangzhou Dianzi University, Hangzhou, 310018, China
| | - Teng Zhao
- Zhejiang Academy of Higher Education, Hangzhou Dianzi University, Hangzhou, 310018, China.
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Vohra A, Ladyshewsky R, Trumble S. Factors that affect general practice as a choice of medical speciality: implications for policy development. AUST HEALTH REV 2019; 43:230-237. [PMID: 29179809 DOI: 10.1071/ah17015] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Accepted: 10/04/2017] [Indexed: 11/23/2022]
Abstract
Objective This article critically appraises the range of personal, professional and social factors that affect the choice of speciality across medical students, prevocational doctors, general practice registrars and general practitioners. Methods This qualitative study applied constructs from the fields of decision theory and career theory to better understand the complex nature of choosing a speciality. In all, 47 in-depth interviews were conducted with participants at different stages of their career cycle. The data was codified and analysed using NVivo to identify key factors that influenced speciality choice. Results The research identified 77 individual findings influencing general practice as a choice of medical speciality. These were distilled into a matrix to show that factors such as money, prestige and peer interaction did not have a compelling effect, whereas clinical and academic role models, flexibility, work-life balance, scope of practice, connection with patients, training environment and practical opportunities did. Conclusion The findings indicate that the decision in relation to the choice of medical speciality is a complex cognitive process that is undertaken within a personal, social and professional context particular to each individual. What is known about the topic? Current literature aims to quantify changes in attitudes towards choice of speciality or the effect of particular variables in isolation while ignoring the complexity of this decision process and how the numerous variables compare with each other. What does this paper add? The present study is the first intergenerational research on this topic in the Australian context and the paper dismisses the role of prestige and remuneration as key drivers of choice in picking general practice as a speciality, noting that money is merely a 'hygiene factor'. What are the implications for policy makers? A policy framework outlining 10 key principles is presented to assist policy makers seeking to affect workforce outcomes by applying policy levers to influence doctors' choice of speciality.
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Affiliation(s)
- Amit Vohra
- Sonic Clinical Services Pty Ltd, Level 32, 60 Margaret Street, Sydney, NSW 2000, Australia
| | - Richard Ladyshewsky
- Curtin Business School, Curtin Graduate School of Business, Curtin University, GPO Box U1987, Perth, WA 6845, Australia. Email
| | - Stephen Trumble
- Department of Medical Education, Level 7 East Melbourne Medical School, University of Melbourne, VIC 3010, Australia. Email
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Harris JE, Lopez-Valcarcel BG, Barber P, Ortún V. Allocation of Residency Training Positions in Spain: Contextual Effects on Specialty Preferences. Health Econ 2017; 26:371-386. [PMID: 26880315 DOI: 10.1002/hec.3318] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2014] [Revised: 12/15/2015] [Accepted: 12/21/2015] [Indexed: 06/05/2023]
Abstract
In Spain's 'MIR' system, medical school graduates are ranked by their performance on a national exam and then sequentially choose from the available residency training positions. We took advantage of a unique survey of participants in the 2012 annual MIR cycle to analyze preferences under two different choice scenarios: the residency program actually chosen by each participant when it came her turn (the 'real') and the program that she would have chosen if all residency training programs had been available (the 'counterfactual'). Utilizing conditional logit models with random coefficients, we found significant differences in medical graduates' preferences between the two scenarios, particularly with respect to three specialty attributes: work hours/lifestyle, prestige among colleagues, and annual remuneration. In the counterfactual world, these attributes were valued preferentially by those nearer to the top, while in the real world, they were valued preferentially by graduates nearer to the bottom of the national ranking. Medical graduates' specialty preferences, which we conclude, are not intrinsically stable but depend critically on the 'rules of the game'. The MIR assignment system, by restricting choice, effectively creates an externality in which those at the bottom, who have fewer choices, want what those at the top already have. Copyright © 2016 John Wiley & Sons, Ltd.
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Affiliation(s)
- Jeffrey E Harris
- Department of Economics, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA
| | - Beatriz G Lopez-Valcarcel
- Department of Quantitative Methods in Economics and Management, University of Las Palmas de Gran Canaria, Las Palmas, Spain
| | - Patricia Barber
- Department of Quantitative Methods in Economics and Management, University of Las Palmas de Gran Canaria, Las Palmas, Spain
| | - Vicente Ortún
- Faculty of Economic and Business Sciences, Universitat Pompeu Fabra, Barcelona, Spain
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Affiliation(s)
- Katrina Anderson
- Academic Unit of General Practice; Australian National University Medical School and ACT Health; Canberra Australia
| | - Emily Haesler
- Academic Unit of General Practice; Australian National University Medical School and ACT Health; Canberra Australia
| | - Alison Stubbs
- Academic Unit of General Practice; Australian National University Medical School and ACT Health; Canberra Australia
| | - Kate Molinari
- Academic Unit of General Practice; Australian National University Medical School and ACT Health; Canberra Australia
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AlKot MM, Gouda MA, KhalafAllah MT, Zahran MS, Kallaf MM, Zayed AM. Family Medicine in Egypt From Medical Students' Perspective: A Nationwide Survey. Teach Learn Med 2015; 27:264-273. [PMID: 26158328 DOI: 10.1080/10401334.2015.1044654] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
UNLABELLED PHENOMENON: Attitudes of medical students toward family medicine as a specialty choice can provide information on the future supply of family physicians. Due to the current worldwide shortage of family physicians, these attitudes, with their subsequent effects on the state and dynamics of the healthcare system, are important to investigate. APPROACH A web-based questionnaire was sent to 600 medical students, selected by a systematic random sampling technique, in 7 Egyptian medical schools. Participants were surveyed to assess their perception of the family medicine specialty as a future career and explore the impact of different factors, including undergraduate family medicine clerkships, on their attitudes toward family medicine. FINDINGS We had a response rate of 75.2% (n = 451). Although 90.7% of students believed in the vital role that family medicine can play in Egypt's healthcare system, only 4.7% showed an intention to choose it as a future career. Students choosing family medicine as a first-career choice were more likely to have a prior contact with family physicians as consumers. Exposure to an undergraduate family medicine curriculum was associated with increased knowledge about family medicine but not the intentions to pursue it as a career. INSIGHTS: Medical students in Egypt have a positive perception of family medicine as an important specialty but low interest in its choice as a future career.
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Thomson JS, Anderson K, Haesler E, Barnard A, Glasgow N. The learner's perspective in GP teaching practices with multi-level learners: a qualitative study. BMC Med Educ 2014; 14:55. [PMID: 24645670 PMCID: PMC3995295 DOI: 10.1186/1472-6920-14-55] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2013] [Accepted: 03/13/2014] [Indexed: 05/26/2023]
Abstract
BACKGROUND Medical students, junior hospital doctors on rotation and general practice (GP) registrars are undertaking their training in clinical general practices in increasing numbers in Australia. Some practices have four levels of learner. This study aimed to explore how multi-level teaching (also called vertical integration of GP education and training) is occurring in clinical general practice and the impact of such teaching on the learner. METHODS A qualitative research methodology was used with face-to-face, semi-structured interviews of medical students, junior hospital doctors, GP registrars and GP teachers in eight training practices in the region that taught all levels of learners. Interviews were audio-recorded and transcribed. Qualitative analysis was conducted using thematic analysis techniques aided by the use of the software package N-Vivo 9. Primary themes were identified and categorised by the co-investigators. RESULTS 52 interviews were completed and analysed. Themes were identified relating to both the practice learning environment and teaching methods used.A practice environment where there is a strong teaching culture, enjoyment of learning, and flexible learning methods, as well as learning spaces and organised teaching arrangements, all contribute to positive learning from a learners' perspective.Learners identified a number of innovative teaching methods and viewed them as positive. These included multi-level learner group tutorials in the practice, being taught by a team of teachers, including GP registrars and other health professionals, and access to a supernumerary GP supervisor (also termed "GP consultant teacher"). Other teaching methods that were viewed positively were parallel consulting, informal learning and rural hospital context integrated learning. CONCLUSIONS Vertical integration of GP education and training generally impacted positively on all levels of learner. This research has provided further evidence about the learning culture, structures and teaching processes that have a positive impact on learners in the clinical general practice setting where there are multiple levels of learners. It has also identified some innovative teaching methods that will need further examination. The findings reinforce the importance of the environment for learning and learner centred approaches and will be important for training organisations developing vertically integrated practices and in their training of GP teachers.
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Affiliation(s)
- Jennifer S Thomson
- Academic Unit of General Practice, Medical School, College of Medicine, Biology & Environment, Australian National University, Acton, ACT, Australia
| | - Katrina Anderson
- Academic Unit of General Practice, Medical School, College of Medicine, Biology & Environment, Australian National University, Acton, ACT, Australia
| | - Emily Haesler
- Academic Unit of General Practice, Medical School, College of Medicine, Biology & Environment, Australian National University, Acton, ACT, Australia
| | - Amanda Barnard
- Rural Clinical School, Medical School, College of Medicine, Biology & Environment, Australian National University, Acton, ACT, Australia
| | - Nicholas Glasgow
- Medical School, College of Medicine, Biology & Environment, Australian National University, Acton, ACT, Australia
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Affiliation(s)
- Jennifer Thomson
- Australian National University Medical School; Canberra Australia
| | - Emily Haesler
- Australian National University Medical School; Canberra Australia
| | - Katrina Anderson
- Australian National University Medical School; Canberra Australia
| | - Amanda Barnard
- Australian National University Medical School; Canberra Australia
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Long MH, Bogossian FE, Johnston V. The Prevalence of Work-Related Neck, Shoulder, and Upper Back Musculoskeletal Disorders Among Midwives, Nurses, and Physicians: A Systematic Review. Workplace Health Saf 2013. [DOI: 10.3928/21650799-20130426-38] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Long MH, Bogossian FE, Johnston V. The Prevalence of Work-Related Neck, Shoulder, and Upper Back Musculoskeletal Disorders among Midwives, Nurses, and Physicians. Workplace Health Saf 2013; 61:223-9; quiz 230. [DOI: 10.1177/216507991306100506] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2012] [Accepted: 03/25/2013] [Indexed: 11/16/2022]
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Newman CE, Persson A, de Wit JBF, Reynolds RH, Canavan PG, Kippax SC, Kidd MR. At the coalface and the cutting edge: general practitioners' accounts of the rewards of engaging with HIV medicine. BMC Fam Pract 2013; 14:39. [PMID: 23517462 PMCID: PMC3610239 DOI: 10.1186/1471-2296-14-39] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/27/2012] [Accepted: 03/06/2013] [Indexed: 11/10/2022]
Abstract
Background HIV has become a chronic manageable infection in the developed world, and early and lifelong treatment has the potential to significantly reduce transmission rates in the community. A skilled and motivated HIV medical workforce will be required to achieve these health management and prevention outcomes, but concerns have been noted in a number of settings about the challenges of recruiting a new generation of clinicians to HIV medicine. Methods As part of a larger qualitative study of the HIV general practice workforce in Australia, in-depth interviews were conducted with 31 general practitioners accredited to prescribe HIV medications in community settings. A thematic analysis was conducted of the de-identified transcripts, and this paper describes and interprets accounts of the rewards of pursuing and sustaining an engagement with HIV medicine in general practice settings. Results The rewards of initially becoming involved in providing care to people living with HIV were described as interest and inspiration, community calling and right place, right time. The rewards which then supported and sustained that engagement over time were described as challenge and change, making a difference and enhanced professional identity. Participants viewed the role of primary care doctor with special expertise in HIV as occupying an ideal interface between the ‘coalface’ and the ‘cutting edge’, and offering a unique opportunity for general practitioners to feel intimately connected to both community needs and scientific change. Conclusions Approaches to recruiting and retaining the HIV medical workforce should build upon the intellectual and social rewards of this work, as well as the sense of professional belonging and connection which is imbued between both doctors and patients and across the global and national networks of HIV clinicians. Insights regarding the rewards of engaging with HIV medicine may also be useful in enhancing the prospect of general practice as a career, and strengthening retention and job satisfaction among the existing general practice workforce.
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Affiliation(s)
- Christy E Newman
- National Centre in HIV Social Research, The University of New South Wales, Level 3 John Goodsell Building, Sydney, NSW, 2052, Australia.
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Wearne SM. In‐practice and distance consultant on‐call general practitioner supervisors for Australian general practice? Med J Aust 2011; 195:224-8. [DOI: 10.5694/j.1326-5377.2011.tb03288.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2010] [Accepted: 04/11/2011] [Indexed: 11/17/2022]
Affiliation(s)
- Susan M Wearne
- Rural Clinical School, Flinders University, Alice Springs, NT
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Maguire PA, Reay RE, Looi JCL, Cubis J, Byrne GJ, Raphael B. Neither the internist nor the Internet: use of and trust in health information sources by people with schizophrenia. Aust N Z J Psychiatry 2011; 45:489-97. [PMID: 21563868 DOI: 10.3109/00048674.2011.570308] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim of this study was to explore health information sources accessed by people with schizophrenia and the level of trust invested in them. METHOD A cross-sectional survey was performed comparing the responses of 71 adults with schizophrenia (recruited from both community and inpatient settings) with 238 general practice attendees on their use of television, radio, the Internet, newspapers, magazines, family and friends, and doctor to obtain information on health matters, and their levels of trust in these sources. RESULTS People with schizophrenia most commonly reported using a doctor, family and friends, and television to obtain information on health matters. However, compared with general practice attendees, they gained less health information from doctors and the Internet, and had less trust in doctors. Within-group analysis revealed that in people with schizophrenia: living alone increased the likelihood of obtaining health information from television; a higher level of education increased the odds of trusting the Internet as a health information source; a higher estimated household income was associated with an increased likelihood of trusting newspapers; and women with schizophrenia were considerably more likely than men with schizophrenia to trust family and friends as providers of health information. For both groups, there were significant positive correlations between the amount of health information obtained from a given information source and the level of trust invested in it. CONCLUSIONS There are significant differences in the reported utilization and trust of health information sources between people with schizophrenia and attendees at general practice settings. Those with schizophrenia are less likely to trust and obtain information from a doctor, and less likely to access the Internet. Further research is required to explore this disparity. This is critical given the high rates of comorbid physical illness and reduced longevity in people suffering from schizophrenia.
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Affiliation(s)
- Paul A Maguire
- Academic Unit of Psychological Medicine, Australian National University Medical School, Canberra Hospital, Woden, Australian Capital Territory, Australia.
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McGrail MR, Humphreys JS, Joyce CM. Nature of association between rural background and practice location: a comparison of general practitioners and specialists. BMC Health Serv Res 2011; 11:63. [PMID: 21429224 PMCID: PMC3074548 DOI: 10.1186/1472-6963-11-63] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2010] [Accepted: 03/23/2011] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Rural and remote areas are characterised by a shortage of medical practitioners. Rural background has been shown to be a significant factor associated with medical graduates' intentions and decisions to practise within a rural area, though most studies have only used simple definitions of rural background and not previously looked at specialists. This paper aims to investigate in detail the nature of the association between rural background and practice location of Australian general practitioners (GPs) and specialists METHODS Data for 3156 GPs and 2425 specialists were obtained from the Medicine in Australia: Balancing Employment and Life (MABEL) study. Data on the number of childhood years resident in a rural location and population size of their rural childhood location were matched against current practice location. Logistic regression modelling was used to calculate adjusted associations between doctors in rural practice and rural background, sex and age. RESULTS GPs with at least 6 years of their childhood spent in a rural area were significantly more likely than those with 0-5 years in a rural area to be practising in a rural location (OR 2.28, 95% CI 1.69-3.08), whilst only specialists with at least 11 years rural background were significantly more likely to be practising in a rural location (OR 2.27, 95% CI 1.77-2.91). However, for doctors with a rural background, the size of the community that they grew up in was not significantly associated with the size of the community in which they currently practise. Both female GPs and female specialists are similarly much less likely to be practising in a rural location compared with males (GPs: OR 0.53, 95% CI 0.45-0.62). CONCLUSIONS This study elucidates the association between rural background and rural practice for both GPs and specialists. It follows that increased take-up of rural practice by new graduates requires an increased selection of students with strong rural backgrounds. However, given the considerable under-representation of rural background students in medical schools and the reluctance of females to practise in rural areas, the selection of rural background students is only part of the solution to increasing the supply of rural doctors.
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Affiliation(s)
- Matthew R McGrail
- Monash University, Gippsland Medical School, Northways Road, Churchill, Victoria, 3825, Australia
- Monash University School of Rural Health, PO Box 666, Bendigo, Victoria, 3552, Australia
| | - John S Humphreys
- Monash University School of Rural Health, PO Box 666, Bendigo, Victoria, 3552, Australia
| | - Catherine M Joyce
- Monash University, Department of Epidemiology and Preventive Medicine, 6th Floor, The Alfred Centre, Melbourne, Victoria, 3004, Australia
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Lambert SM, Page AN, Wittmann J, Hayllar JS, Ferndale CW, Bain TM, Macdonald GA. General practitioner attitudes to prescribing hepatitis C antiviral therapy in a community setting. Aust J Prim Health 2011; 17:282-7. [DOI: 10.1071/py10069] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2010] [Accepted: 02/21/2011] [Indexed: 11/23/2022]
Abstract
There is a growing debate about the prescription of hepatitis C virus (HCV) antiviral therapies within a community setting in Australia. This study aimed to identify interest and confidence among general practitioners (GPs) in prescribing HCV antiviral therapy in a community setting. Data from 580 GPs who responded to a cross-sectional population-based survey were analysed to measure: self-reported interest and confidence in initiating HCV antiviral therapy; and/or prescribing maintenance antiviral therapy; and self-perceived education needs about HCV antiviral therapy. Forty-two percent of respondents indicated they would be interested in prescribing HCV antiviral therapy. Most were not confident to initiate therapy (80%). Higher proportions indicated that they would be more confident in prescribing maintenance therapy (35%) rather than initiating (7%) therapy (z = 10.5, P < 0.001). Confidence in prescribing was related to a higher caseload of patients with HCV (P = 0.001) and being a HIV community-based prescriber (P = 0.002). Fifty-three percent of respondents expressed an interest in education about HCV antiviral therapy. The initial step to recruit potential primary care prescribers of HCV antiviral therapies should be to develop an integrated education program. Recruitment to this program might be most efficient from GPs with a high caseload of patients with HCV.
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Peterson GM, Jackson SL, Hughes JD, Fitzmaurice KD, Murphy LE. Public perceptions of the role of Australian pharmacists in cardiovascular disease. J Clin Pharm Ther 2010; 35:671-7. [DOI: 10.1111/j.1365-2710.2009.01139.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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McGrail MR, Humphreys JS, Scott A, Joyce CM, Kalb G. Professional satisfaction in general practice: does it vary by size of community? Med J Aust 2010; 193:94-8. [DOI: 10.5694/j.1326-5377.2010.tb03812.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2010] [Accepted: 05/02/2010] [Indexed: 11/17/2022]
Affiliation(s)
- Matthew R McGrail
- Gippsland Medical School, Monash University, Churchill, VIC
- School of Rural Health, Monash University, Bendigo, VIC
| | | | - Anthony Scott
- Melbourne Institute of Applied Economic and Social Research, University of Melbourne, Melbourne, VIC
| | - Catherine M Joyce
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC
| | - Guyonne Kalb
- Melbourne Institute of Applied Economic and Social Research, University of Melbourne, Melbourne, VIC
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Oikonomidou E, Anastasiou F, Dervas D, Patri F, Karaklidis D, Moustakas P, Andreadou N, Mantzanas E, Merkouris B. Rural primary care in Greece: working under limited resources. Int J Qual Health Care 2010; 22:333-7. [PMID: 20581119 DOI: 10.1093/intqhc/mzq032] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE Establishing sufficient primary health-care services in rural areas is of high interest in developing health systems. The objective of the present study was to describe the state of rural health services, in terms of personnel and equipment, in rural primary care settings in Greece. DESIGN A questionnaire was sent to all Greek rural settings (RS) (practices) twice during 2007. The questionnaire included questions about the number of doctors in the practice, their specialty, presence of a nurse, population served and average distance from the regional Health Center and hospital. It also included questions about the average number of consultations per day, home visits, maintenance of medical records and medical equipment. SETTING Rural primary care settings in Greece. PARTICIPANTS Doctors serving primary care needs during the second half of 2007. INTERVENTION s) None. MAIN OUTCOME MEASURE s) Data concerning staffing, function and available equipment of the RS have been collected. RESULTS Five hundred eighty-two (40.9%) of the rural practitioners replied. Twenty-nine percent of the participants were general practitioners (GPs). Doctors reported average population of responsibility of 2263 citizens and a regular average of 26 consultations per day. A nurse was present in 174 RS (29.5%). Medical records of any form were kept in only 36% of the RS. GPs were more prone to maintain patients files compared with non-specialized doctors. Essential equipment proved to be limited in the majority of the RS. CONCLUSIONS Rural practices in Greece report shortages of medical staff (GPs), nursing staff and equipment.
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Affiliation(s)
- Eirini Oikonomidou
- Diavata HC, Rural Setting of Sindos, I. Kapodistria 9, Pylaia, Postal Code 55535, Thessaloniki, Greece.
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Vickery AW, Dodd J, Emery JD. General Practice Super Clinics--how will they meet their educational objectives? Med J Aust 2009; 191:393-5. [PMID: 19807632 DOI: 10.5694/j.1326-5377.2009.tb02848.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2009] [Accepted: 08/02/2009] [Indexed: 11/17/2022]
Abstract
The Australian Government will provide $275 million over 4 years to general practice infrastructure across Australia with the rollout of 31 General Practice Super Clinics. One of the core objectives of these Super Clinics is to support medical education. Several studies have demonstrated that the major barriers to teaching in general practice are time, space and money. We argue that General Practice Super Clinics can provide a responsive, flexible work culture; and improved payment and targeted resources to support the need for increased teaching capacity, and to attract and retain workforce for general practice and primary care.
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Affiliation(s)
- Alistair W Vickery
- School of Primary, Aboriginal and Rural Health Care, University of Western Australia, Perth, WA, Australia.
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Affiliation(s)
- Deborah A Askew
- Discipline of General Practice, University of Queensland, Brisbane, QLD
| | - Naomi R Hansar
- Discipline of General Practice, University of Queensland, Brisbane, QLD
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Brett TD, Arnold‐Reed DE, Phan CT, Moorhead RG, Hince DA. Work intentions and opinions of general practice registrars. Med J Aust 2009; 191:73-4. [DOI: 10.5694/j.1326-5377.2009.tb02695.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2009] [Accepted: 06/09/2009] [Indexed: 11/17/2022]
Affiliation(s)
- Thomas D Brett
- Primary Health Care Research, School of Medicine, University of Notre Dame Australia, Fremantle, WA
| | - Diane E Arnold‐Reed
- Primary Health Care Research, School of Medicine, University of Notre Dame Australia, Fremantle, WA
| | - Cam T Phan
- Primary Health Care Research, School of Medicine, University of Notre Dame Australia, Fremantle, WA
| | - Robert G Moorhead
- Primary Health Care Research, School of Medicine, University of Notre Dame Australia, Fremantle, WA
| | - Dana A Hince
- Primary Health Care Research, School of Medicine, University of Notre Dame Australia, Fremantle, WA
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