Emergency department coverage by primary care physicians in a rural practice-based research network: incentives, confidence, and training.
Emergency department coverage by primary care physicians in a rural practice-based research network: incentives, confidence, and training.
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基于农村实践的研究网络中初级保健医生的急诊科覆盖率：激励、信心和培训。
DOI：
10.1111/j.1748-0361.2009.00216.x
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Lowe,RobertA
中科院分区：
文献类型：
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作者：
Lew,Edward;Fagnan,LyleJ;Mattek,Nora;Mahler,Jo;Lowe,RobertA
在美国的农村地区，急诊室（ED）通常由初级保健医生组成，与城市和郊区医院相比，艾德覆盖范围通常由接受过急诊医学住院医师培训的医生提供。PurposeThis study examined the reason and incentives for rural俄勒冈州primary care physician to cover the艾德and their reported measures of confidence and priorities for additional training.对俄勒冈州农村的初级保健医生进行了一项横断面调查，这些医生是俄勒冈州农村实践研究网络（ORPRN）的成员。该调查被发送到70个初级保健医生在27个农村俄勒冈州的做法。FindingsFifty-two的70（74%）ORPRN医生代表24实践返回问卷。19的52名回应医生报告覆盖ED。大多数（75%）的医生覆盖的艾德这样做是为了实践就业和/或医院特权的要求。覆盖艾德的医生报告说，在儿科急诊的信心低，并表示需要额外的培训，儿科急诊作为他们的重中之重。ConclusionsAlmost五分之二的调查初级保健医生在农村实践为基础的研究网络提供艾德的覆盖面。基于这些医生对儿科急诊的信心和额外培训的愿望较低，需要为农村医院的艾德医生提供有效的教育模式。
ContextIn rural areas of the United States, emergency departments (EDs) are often staffed by primary care physicians, as contrasted to urban and suburban hospitals where ED coverage is usually provided by physicians who are residency‐trained in emergency medicine.PurposeThis study examines the reasons and incentives for rural Oregon primary care physicians to cover the ED and their reported measures of confidence and priorities for additional training.MethodsWe conducted a cross‐sectional survey of primary care physicians in rural Oregon who are members of the Oregon Rural Practice‐Based Research Network (ORPRN). The survey was sent to 70 primary care physicians in 27 rural Oregon practices.FindingsFifty‐two of 70 (74%) ORPRN physicians representing 24 practices returned the questionnaire. Nineteen of the 52 responding physicians reported covering the ED. The majority (75%) of physicians covering the ED did so as a requirement for practice employment and/or hospital privileges. Physicians covering the ED reported low confidence in pediatric emergencies and expressed the need for additional training in pediatric emergencies as their top priority.ConclusionsAlmost two fifths of surveyed primary care physicians in a rural practice‐based research network provide ED coverage. Based on these physicians' low levels of confidence and desire for additional training in pediatric emergencies, effective education models are needed for physicians covering the ED at their rural hospitals.