Prevalence and associations of provision of nursing home visits and home visits by early-career specialist general practitioners.

family practice general practice homes for the aged house calls rural health services

Journal

The Australian journal of rural health
ISSN: 1440-1584
Titre abrégé: Aust J Rural Health
Pays: Australia
ID NLM: 9305903

Informations de publication

Date de publication:
21 Mar 2024
Historique:
revised: 18 02 2024
received: 29 06 2023
accepted: 10 03 2024
medline: 21 3 2024
pubmed: 21 3 2024
entrez: 21 3 2024
Statut: aheadofprint

Résumé

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. A cross-sectional study. A questionnaire-based study. Australian general practice. 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. Current provision of NHV and HV. 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. Early-career specialist GPs located in regional/remote areas are more likely than their urban colleagues to provide NHV and HV.

Identifiants

DOI: 10.1111/ajr.13112 PMID: 38511481
pubmed: 38511481
doi: 10.1111/ajr.13112
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Royal Australian College of General Practitioners
Organisme : Department of Health and Aged Care, Australian Government

Informations de copyright

© 2024 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd.

Références

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Auteurs

Allison Turnock (A)

School of Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Australian Government, Department of Health, Hobart, Tasmania, Australia.

Alison Fielding (A)

School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
NSW & ACT Research and Evaluation Unit, GP Synergy, Mayfield West, New South Wales, Australia.

Dominica Moad (D)

School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
NSW & ACT Research and Evaluation Unit, GP Synergy, Mayfield West, New South Wales, Australia.

Ashley Blowes (A)

NSW & ACT Research and Evaluation Unit, GP Synergy, Mayfield West, New South Wales, Australia.

Amanda Tapley (A)

School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
NSW & ACT Research and Evaluation Unit, GP Synergy, Mayfield West, New South Wales, Australia.

Andrew Davey (A)

School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
NSW & ACT Research and Evaluation Unit, GP Synergy, Mayfield West, New South Wales, Australia.

Elizabeth Holliday (E)

School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.

Jean Ball (J)

Clinical Research Design and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute (HMRI), New Lambton Heights, New South Wales, Australia.

Michael Bentley (M)

General Practice Training Tasmania (GPTT), Australian General Practice Training, Hobart, Tasmania, Australia.

Kristen FitzGerald (K)

School of Medicine, University of Tasmania, Hobart, Tasmania, Australia.
General Practice Training Tasmania (GPTT), Australian General Practice Training, Hobart, Tasmania, Australia.

Catherine Kirby (C)

Eastern Victoria General Practice Training (EVGPT), Australian General Practice Training, Hawthorn, Victoria, Australia.

Neil Spike (N)

Eastern Victoria General Practice Training (EVGPT), Australian General Practice Training, Hawthorn, Victoria, Australia.
School of Rural Health, Monash University, Churchill, Victoria, Australia.
Department of General Practice and Primary Health Care, University of Melbourne, Carlton, Victoria, Australia.

Mieke L van Driel (ML)

General Practice Clinical Unit, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.

Parker Magin (P)

School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
NSW & ACT Research and Evaluation Unit, GP Synergy, Mayfield West, New South Wales, Australia.
ORCID: 0000-0001-8071-8749

Classifications MeSH