Socioeconomic status of practice location and Australian GP registrars' training: a cross-sectional analysis.

Autor: Moad D; The University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.; GP Synergy, Regional Training Organisation, NSW & ACT Research and Evaluation Unit, Newcastle, NSW, Australia., Tapley A; The University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.; GP Synergy, Regional Training Organisation, NSW & ACT Research and Evaluation Unit, Newcastle, NSW, Australia., Fielding A; The University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.; GP Synergy, Regional Training Organisation, NSW & ACT Research and Evaluation Unit, Newcastle, NSW, Australia., van Driel ML; The University of Queensland Faculty of Medicine, Primary Care Clinical Unit, Brisbane, QLD, Australia., Holliday EG; The University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia., Ball JI; Hunter Medical Research Institute, Clinical Research Design, IT and Statistical Support Unit (CReDITSS), New Lambton, NSW, Australia., Davey AR; The University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia.; GP Synergy, Regional Training Organisation, NSW & ACT Research and Evaluation Unit, Newcastle, NSW, Australia., FitzGerald K; University of Tasmania, School of Medicine, Hobart, TAS, Australia.; General Practice Training Tasmania (GPTT), Regional Training Organisation, Hobart, TAS, Australia., Spike NA; Eastern Victoria General Practice Training (EVGPT), 15 Cato Street, Hawthorn, VIC, 3122, Australia.; Monash University, School of Rural Health, Churchill, VIC, 3842, Australia.; Department of General Practice, The University of Melbourne, Carlton, VIC, 3053, Australia., Magin P; The University of Newcastle, School of Medicine and Public Health, Callaghan, NSW, Australia. parker.magin@newcastle.edu.au.; GP Synergy, Regional Training Organisation, NSW & ACT Research and Evaluation Unit, Newcastle, NSW, Australia. parker.magin@newcastle.edu.au.; University of Newcastle, School of Medicine and Public Health, University Drive, Callaghan, NSW, 2308, Australia. parker.magin@newcastle.edu.au.
Jazyk: angličtina
Zdroj: BMC medical education [BMC Med Educ] 2022 Apr 15; Vol. 22 (1), pp. 285. Date of Electronic Publication: 2022 Apr 15.
DOI: 10.1186/s12909-022-03359-x
Abstrakt: Background: Socioeconomic status (SES) is a major determinant of health. In Australia, areas of socioeconomic disadvantage are characterised by complex health needs and inequity in primary health care provision. General Practice (GP) registrars play an important role in addressing workforce needs, including equitable health care provision in areas of greater socioeconomic disadvantage. We aimed to characterize GP registrars' practice location by level of socioeconomic disadvantage, and establish associations (of registrar, practice, patient characteristics, and registrars' clinical behaviours) with GP registrars training being undertaken in areas of greater socioeconomic disadvantage.
Methods: A cross-sectional analysis from the Registrars' Clinical Encounters in Training (ReCEnT) study. ReCEnT is an ongoing, multi-centre, cohort study that documents 60 consecutive consultations by each GP registrar once in each of their three six-monthly training terms. The outcome factor was the practice location's level of socioeconomic disadvantage, defined using the Index of Relative Socio-economic Disadvantage (SEIFA-IRSD). The odds of being in the lowest quintile was compared to the other four quintiles. Independent variables related to the registrar, patient, practice, and consultation.
Results: A total of 1,736 registrars contributed 241,945 consultations. Significant associations of training being in areas of most disadvantage included: the registrar being full-time, being in training term 1, being in the rural training pathway; patients being Aboriginal or Torres Strait Islander, or from a non-English-speaking background; and measures of continuity of care.
Conclusions: Training in areas of greater social disadvantage, as well as addressing community need, may provide GP registrars with richer learning opportunities.
(© 2022. The Author(s).)
Databáze: MEDLINE
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