[葡萄牙医生对医疗事业重组的看法:一项横断面研究]。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Guida Da Ponte, António Manuel Oliveira, Henrique Soares, João Pedro Aniceto, João Paulo Farias, Luís Filipe Silva, João Bernardo Pego, João Álvaro Correia da Cunha, Helena Ramalho
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引用次数: 0

摘要

导言:在葡萄牙,医疗事业(MC)一直是组织和提供医疗保健的支柱和质量保证。目前,它由两个职等和三个类别组成,可以通过两种方式晋升,这两种方式都与薪酬制度有关。然而,我们目前正在目睹葡萄牙医生职业发展的一个令人担忧的停滞。本研究的主要目的是评估与葡萄牙MC相关的认知、意见和挑战。方法:对2024年12月至2025年1月在葡萄牙医学协会注册的医生(n = 61 317)进行问卷调查。进行了定量和定性分析。结果:总有效率为9.36%。大多数医生的年龄在30至40岁之间,是妇女,属于高级主治医生类别,在公共部门和医院专科工作。对于医疗保健管理与医疗质量之间的关系(91.45%)、医疗保健管理机构重组的必要性(87.57%)、将住院医师纳入医疗保健管理机构(92.58%)、医疗保健管理机构的跨部门性质(78.1%)以及职业发展与薪酬发展之间的关系(95.86%),人们达成了共识。大多数医生认为MC应该有更多的水平(55.63%)。结论:研究结果支持MC对护理质量的重要性。医生们在重组MC的必要性上达成了明显的共识,提出了诸如重新整合住院医师计划和创造新的技术-科学水平等建议。虽然大多数回应问卷的医生在公营机构工作,但大家对管委会的跨界别性质有明显的共识。然而,这种跨界别性质的实施是一项挑战,特别是当人们一致认为职业发展必须包括加薪时,这对医疗工作的认可至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The Portuguese Physicians' Perspective regarding the Restructuring of the Medical Career: A Cross-Sectional Study].

Introduction: The medical career (MC) has been, in Portugal, a pillar and a guarantee of quality in the organization and provision of healthcare. Currently, it consists of two levels and three categories, with progression possible by two ways, both related to the remuneration system. However, we are currently witnessing a concerning stagnation in the career progression of doctors in Portugal. The main aim of this study was to evaluate the perception, opinion, and challenges related to the MC in Portugal.

Methods: A questionnaire was applied to doctors registered in the Portuguese Medical Association (n = 61 317) between December 2024 and January 2025. Both quantitative and qualitative analyses were performed.

Results: A response rate of 9.36% was obtained. The majority of doctors were aged between 30 and 40 years, were women, held the category of senior attending physician, worked in the public sector, and in hospital-based specialties. There was consensus on the relationship between the MC and the quality of healthcare (91.45%), the need for restructuring the MC (87.57%), the integration of residency into the MC (92.58%), the cross-sector nature of the MC (78.1%), and the association of career progression with remuneration progression (95.86%). Most doctors felt that the MC should have more levels (55.63%).

Conclusion: The results support the perception of the importance of the MC for the quality of care provided. A consensus is evident among doctors regarding the need for restructuring the MC, with proposals such as the reintegration of the residency program and the creation of new technical-scientific levels. Although most doctors who responded to the questionnaire work in the public sector, there was a clear consensus about the cross-sector nature of the MC. However, the implementation of this cross-sector nature proves to be a challenge, especially when combined with the consensus that career progression should always involve a pay rise, which is crucial for the recognition of medical work.

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来源期刊
Acta medica portuguesa
Acta medica portuguesa MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
自引率
16.70%
发文量
256
审稿时长
6-12 weeks
期刊介绍: The aim of Acta Médica Portuguesa is to publish original research and review articles in biomedical areas of the highest standard, covering several domains of medical knowledge, with the purpose to help doctors improve medical care. In order to accomplish these aims, Acta Médica Portuguesa publishes original articles, review articles, case reports and editorials, among others, with a focus on clinical, scientific, social, political and economic factors affecting health. Acta Médica Portuguesa will be happy to consider manuscripts for publication from authors anywhere in the world.
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