The prevalence and associations of Australian early‐career general practitioners' provision of after‐hours care.
Introduction: Access to after‐hours care (AHC) is an important aspect of general practice service provision. Objective: To establish the prevalence and associations of early‐career GPs' provision of AHC. Design: An analysis of data from the New alumni Experiences of Training and independent Unsuperv...
| Publicado en: | Australian Journal of Rural Health Vol. 31; no. 5; pp. 906 - 914 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173054706&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173054706 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10385282 FQO jtl: Australian Journal of Rural Health issn: 10385282 maglogo: Y pubinfo: dt: Oct2023 vid: 31 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 173054706 165764730 173054706 173054706 10.1111/ajr.13022 173054706 ppf: 906 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The prevalence and associations of Australian early‐career general practitioners' provision of after‐hours care. aug: au: Turnock, Allison Fielding, Alison Moad, Dominica Tapley, Amanda Davey, Andrew Holliday, Elizabeth Ball, Jean Bentley, Michael FitzGerald, Kristen Kirby, Catherine Spike, Neil van Driel, Mieke L. Magin, Parker affil: University of Tasmania, School of Medicine, Hobart Tasmania,, Australia sug: subj: Physicians, Family Education Career Mobility Acute Care Access to Primary Care Rural Health Human Adult Male Female Australia Victoria Tasmania Prevalence Cross Sectional Studies Questionnaires Training Support, Financial Vocational Education Multivariate Analysis Logistic Regression Rural Areas Urban Areas Odds Ratio Confidence Intervals Descriptive Statistics Univariate Statistics Comparative Studies Private Practice Funding Source Adult: 19-44 years Male Female ab: Introduction: Access to after‐hours care (AHC) is an important aspect of general practice service provision. Objective: To establish the prevalence and associations of early‐career GPs' provision of AHC. Design: An analysis of data from the New alumni Experiences of Training and independent Unsupervised Practice (NEXT‐UP) cross‐sectional questionnaire‐based study. Participants were early‐career GPs (6‐month to 2‐year post‐Fellowship) following the completion of GP vocational training in NSW, the ACT, Victoria or Tasmania. The outcome factor was 'current provision of after‐hours care'. Associations of the outcome were established using multivariable logistic regression. Findings: Three hundred and fifty‐four early‐career GPs participated (response rate 28%). Of these, 322 had responses available for analysis of currently performing AHC. Of these observations, 128 (40%) reported current provision of AHC (55% of rural participants and 32% of urban participants). On multivariable analysis, participants who provided any AHC during training were more likely to be providing AHC (odds ratio (OR) 5.51, [95% confidence interval (CI) 2.80–10.80], p < 0.001). Current rural location and in‐training rural experience were strongly associated with currently providing AHC in univariable but not multivariable analysis. Discussion: Early‐career GPs who provided AHC during training, compared with those who did not, were more than five times more likely to provide after‐hours care in their first 2 years after gaining Fellowship, suggesting participation in AHC during training may have a role in preparing registrars to provide AHC as independent practitioners. Conclusion: These findings may inform future GP vocational training policy and practice concerning registrars' provision of AHC during training. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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