학술논문

Prevalence and associations of provision of nursing home visits and home visits by early‐career specialist general practitioners.
Document Type
Article
Source
Australian Journal of Rural Health. Jun2024, Vol. 32 Issue 3, p547-553. 7p.
Subject
*HEALTH services accessibility
*HOME care services
*COMMUNITY health services
*CROSS-sectional method
*RESEARCH funding
*FAMILY medicine
*MEDICAL care
*QUESTIONNAIRES
*DESCRIPTIVE statistics
*MULTIVARIATE analysis
*HOSPITAL medical staff
*NURSING care facilities
*RURAL health services
*ODDS ratio
*CONFIDENCE intervals
*DATA analysis software
*URBAN health
Language
ISSN
1038-5282
Abstract
Objective: To establish prevalence and associations of provision of nursing home visits (NHV) and home visits (HV) by early‐career specialist GPs. Of particular interest were associations of rurality with performing NHVs and HVs. Methods: A cross‐sectional study. Design: A questionnaire‐based study. Setting: Australian general practice. Participants: Early‐career specialist GPs, practising in Australia, who attained Fellowship between January 2016 and July 2018, inclusive, having completed GP training in NSW, the ACT, Eastern Victoria or Tasmania. Main Outcome Measures: Current provision of NHV and HV. Results: NHV were provided by 34% of participants (59% in rural areas) and HV by 41% of participants (60% in rural areas). Remote, rural or regional practice location, as compared to major‐city practice, was strongly associated with performing NHV as an early‐career specialist GP; multivariable OR 5.87 (95% CI: 2.73, 12.6), p < 0.001, and with the provision of HV; multivariable OR 3.64 (95% CI: 1.63, 8.11), p = 0.002. Rurality of GP training (prior to attaining Fellowship) was significantly univariably associated with providing NHV and with providing HV as an early‐career specialist GP. On multivariable analyses, these were no longer statistically significant. Conclusion: Early‐career specialist GPs located in regional/remote areas are more likely than their urban colleagues to provide NHV and HV. [ABSTRACT FROM AUTHOR]