General practitioners in the field A qualitative study of general practitioners' experiences in disaster healthcare
General practitioners in the field A qualitative study of general practitioners' experiences in disaster healthcare
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DOI：
10.31128/ajgp-08-19-5054
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发表时间：
2020-03-01
影响因子：
2.2
通讯作者：
Raphael, Beverley
中科院分区：
文献类型：
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作者：
Burns, Penelope;Douglas, Kirsty;Raphael, Beverley
背景全科医生通常的职业角色在社区中是明确的，但在灾难期间，他们的角色变得模糊、临时和机会主义的。目的本研究的目的是考察灾难发生时全科医生的经历和角色变化。方法采用半结构访谈的定性研究方法，对2009-2016年间在澳大利亚或新西兰经历过灾难的全科医生进行了有目的的样本调查。对成绩单进行了专题分析。结果38名全科医生报告了对灾害应对工作的不同和有效的贡献。出现了四个主要主题：全科医生自发做出贡献；全科医生调整他们通常的专业知识来提供灾难医疗保健；个人和专业挑战在不同类型的灾难中是一致的；与澳大利亚全科医生不同，新西兰全科医生感觉更好地融入更广泛的灾难应对系统，并受到更广泛的重视。讨论结果记录了全科医生在灾难医疗保健中的角色和经验，并强调了全科医生如何在灾难期间和之后为满足社区的关键医疗需求做出贡献。更好地定义、整合和支持灾难系统中的全科医生角色可能会改善灾难医疗保健。
BackgroundGeneral practitioners' (GPs') usual professional roles are clearly defined in communities; however, during disasters, their roles become ill defined, ad hoc and opportunistic.ObjectiveThe aim of this study was to examine the experiences and changed roles of GPs when disaster struck their communities.MethodsA qualitative study using semi-structured interviews was conducted with a purposive sample of GPs who had experienced disasters in Australia or New Zealand (NZ) between 2009 and 2016. Transcripts underwent thematic analysis.ResultsThirty-eight GPs reported diverse and effective contributions to disasterresponse efforts. Four main themes emerged: GPs responded spontaneously to contribute; GPs adapted their usual expertise to provide disaster healthcare; personal and professional challenges experienced were consistent across different types of disaster; and unlike Australian GPs, NZ GPs felt better integrated and valued in the broader disaster-response system.DiscussionThe results document GPs' roles and experiences in disaster healthcare and highlight how GPs contribute to meeting crucial healthcare needs in communities during and following disasters. Better defining, integrating and supporting GP roles in disaster systems is likely to improve disaster healthcare.