Factors influencing home visits in Slovenian general practice
Factors influencing home visits in Slovenian general practice
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DOI：
10.1093/fampra/20.1.58
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发表时间：
2003-02-01
期刊：
影响因子：
2.2
通讯作者：
Vidmar, G
中科院分区：
文献类型：
--
作者：
Svab, I;Kravos, A;Vidmar, G
背景。欧洲的家访率差异很大。欧洲一般做法研究讲习班（EGPRW）进行了一项关于家访的试验性定量国际研究，并编制了一份调查表，但尚未在国家一级进行测试。在斯洛文尼亚，家访正在减少，但影响全国全科医生家访的因素尚未得到审查。本研究的目的是检验EGPRW编制的家访问卷的可行性，并对斯洛文尼亚的家访进行研究。对165名斯洛文尼亚全科医生随机抽取了一份问卷，该问卷是根据以前的全民保健方案项目编制的。每位受访者都提供了在办公时间内连续10次家访的数据，以及在登记期间的执业情况和咨询次数。以每个工作周的家访作为因变量进行多变量建模。回复率达到71%，并分析了1151次家访请求和1015次已完成家访的数据。每个工作周的平均家访次数为2.5次，受访者之间差异很大（0-10次，标准差1.89）。年龄较大的全科医生、实习医生、来自农村地区的全科医生和老年患者比例较高的全科医生进行了更多的家访。所选择的logistic回归模型能很好地拟合所建立的标准数据。可以在全国范围内使用EGPRW编制的问卷，并获得具有代表性的有效国家数据。与其他国家相比，斯洛文尼亚的出诊率很低。农村执业地点、全科医生的年龄、实习状态和名单上老年患者的数量是家访率的最重要预测因素。
Background. There is great variability in home visiting rates in Europe. The European General Practice Research Workshop (EGPRW) has conducted a pilot quantitative international study on home visits and developed a questionnaire, which has not yet been tested on a national level. In Slovenia, home visiting is decreasing, but the factors influencing home visiting by GPs in the country have not yet been examined.Objectives. The purpose of this study was to test the feasibility of the questionnaire on home visiting developed by EGPRW and to study home visiting in Slovenia.Methods. A random representative sample of 165 Slovenian GPs were given a questionnaire, developed on the basis of former EGPRW projects. Each of the respondents provided data on 10 consecutive home visits made during office hours, data on his/her practice and number of consultations during the registration period. Multivariate modelling of home visits per working week as the dependent variable was performed.Results. A 71% response rate was achieved, and the data from 1151 requests for home visits and 1015 completed home visits were analysed. The average number of home visits per working week was 2.5, with wide variation among the respondents (0-10, SD 1.89). Older GPs, trainees, GPs from rural areas and those with a higher proportion of elderly patients carried out more home visits. The selected logistic regression model fits the data well according to established criteria.Conclusion. It is possible to use the questionnaire developed by EGPRW on a national scale and to obtain representative valid national data. The home visiting rate in Slovenia is low compared with rates in other countries. Rural location of practice, GP's age, trainee status and the number of older patients on the list are the most important predictors of the home visiting rate.