Allison Turnock MPH, MHM, Alison Fielding PhD, Dominica Moad MPH, Ashley Blowes BND, Amanda Tapley MMedStat, Andrew Davey MClinEpid, Elizabeth Holliday PhD, Jean Ball GradDipMedStats, Michael Bentley DrPH, Kristen FitzGerald MPH & TM, Catherine Kirby PhD, Neil Spike FRACGP, Mieke L. van Driel PhD, Parker Magin PhD
{"title":"早期职业专科全科医生提供护理家庭访问和家庭访问的普遍性和关联性。","authors":"Allison Turnock MPH, MHM, Alison Fielding PhD, Dominica Moad MPH, Ashley Blowes BND, Amanda Tapley MMedStat, Andrew Davey MClinEpid, Elizabeth Holliday PhD, Jean Ball GradDipMedStats, Michael Bentley DrPH, Kristen FitzGerald MPH & TM, Catherine Kirby PhD, Neil Spike FRACGP, Mieke L. van Driel PhD, Parker Magin PhD","doi":"10.1111/ajr.13112","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To establish prevalence and associations of provision of nursing home visits (NHV) and home visits (HV) by early-career specialist GPs. Of particular interest were associations of rurality with performing NHVs and HVs.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A cross-sectional study.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A questionnaire-based study.</p>\n </section>\n \n <section>\n \n <h3> Setting</h3>\n \n <p>Australian general practice.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>Early-career specialist GPs, practising in Australia, who attained Fellowship between January 2016 and July 2018, inclusive, having completed GP training in NSW, the ACT, Eastern Victoria or Tasmania.</p>\n </section>\n \n <section>\n \n <h3> Main Outcome Measures</h3>\n \n <p>Current provision of NHV and HV.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>NHV were provided by 34% of participants (59% in rural areas) and HV by 41% of participants (60% in rural areas). Remote, rural or regional practice location, as compared to major-city practice, was strongly associated with performing NHV as an early-career specialist GP; multivariable OR 5.87 (95% CI: 2.73, 12.6), <i>p</i> < 0.001, and with the provision of HV; multivariable OR 3.64 (95% CI: 1.63, 8.11), <i>p</i> = 0.002. Rurality of GP training (prior to attaining Fellowship) was significantly univariably associated with providing NHV and with providing HV as an early-career specialist GP. On multivariable analyses, these were no longer statistically significant.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Early-career specialist GPs located in regional/remote areas are more likely than their urban colleagues to provide NHV and HV.</p>\n </section>\n </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"32 3","pages":"547-553"},"PeriodicalIF":1.9000,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13112","citationCount":"0","resultStr":"{\"title\":\"Prevalence and associations of provision of nursing home visits and home visits by early-career specialist general practitioners\",\"authors\":\"Allison Turnock MPH, MHM, Alison Fielding PhD, Dominica Moad MPH, Ashley Blowes BND, Amanda Tapley MMedStat, Andrew Davey MClinEpid, Elizabeth Holliday PhD, Jean Ball GradDipMedStats, Michael Bentley DrPH, Kristen FitzGerald MPH & TM, Catherine Kirby PhD, Neil Spike FRACGP, Mieke L. van Driel PhD, Parker Magin PhD\",\"doi\":\"10.1111/ajr.13112\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To establish prevalence and associations of provision of nursing home visits (NHV) and home visits (HV) by early-career specialist GPs. Of particular interest were associations of rurality with performing NHVs and HVs.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A cross-sectional study.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>A questionnaire-based study.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Setting</h3>\\n \\n <p>Australian general practice.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Participants</h3>\\n \\n <p>Early-career specialist GPs, practising in Australia, who attained Fellowship between January 2016 and July 2018, inclusive, having completed GP training in NSW, the ACT, Eastern Victoria or Tasmania.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Main Outcome Measures</h3>\\n \\n <p>Current provision of NHV and HV.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>NHV were provided by 34% of participants (59% in rural areas) and HV by 41% of participants (60% in rural areas). Remote, rural or regional practice location, as compared to major-city practice, was strongly associated with performing NHV as an early-career specialist GP; multivariable OR 5.87 (95% CI: 2.73, 12.6), <i>p</i> < 0.001, and with the provision of HV; multivariable OR 3.64 (95% CI: 1.63, 8.11), <i>p</i> = 0.002. Rurality of GP training (prior to attaining Fellowship) was significantly univariably associated with providing NHV and with providing HV as an early-career specialist GP. 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Prevalence and associations of provision of nursing home visits and home visits by early-career specialist general practitioners
Objective
To establish prevalence and associations of provision of nursing home visits (NHV) and home visits (HV) by early-career specialist GPs. Of particular interest were associations of rurality with performing NHVs and HVs.
Methods
A cross-sectional study.
Design
A questionnaire-based study.
Setting
Australian general practice.
Participants
Early-career specialist GPs, practising in Australia, who attained Fellowship between January 2016 and July 2018, inclusive, having completed GP training in NSW, the ACT, Eastern Victoria or Tasmania.
Main Outcome Measures
Current provision of NHV and HV.
Results
NHV were provided by 34% of participants (59% in rural areas) and HV by 41% of participants (60% in rural areas). Remote, rural or regional practice location, as compared to major-city practice, was strongly associated with performing NHV as an early-career specialist GP; multivariable OR 5.87 (95% CI: 2.73, 12.6), p < 0.001, and with the provision of HV; multivariable OR 3.64 (95% CI: 1.63, 8.11), p = 0.002. Rurality of GP training (prior to attaining Fellowship) was significantly univariably associated with providing NHV and with providing HV as an early-career specialist GP. On multivariable analyses, these were no longer statistically significant.
Conclusion
Early-career specialist GPs located in regional/remote areas are more likely than their urban colleagues to provide NHV and HV.
期刊介绍：
The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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