The prevalence and associations of Australian early-career general practitioners' provision of after-hours care.
Aust J Rural Health
; 31(5): 906-913, 2023 Oct.
Article
en En
| MEDLINE
| ID: mdl-37488936
ABSTRACT
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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atención Posterior
/
Medicina General
/
Médicos Generales
Tipo de estudio:
Prevalence_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Aust J Rural Health
Asunto de la revista:
ENFERMAGEM
/
SAUDE PUBLICA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Australia