- Title
- The prevalence and associations of Australian early-career general practitioners' provision of after-hours care
- Creator
- Turnock, Allison; Fielding, Alison; Spike, Neil; van Driel, Mieke L.; Magin, Parker; Moad, Dominica; Tapley, Amanda; Davey, Andrew; Holliday, Elizabeth; Ball, Jean; Bentley, Michael; FitzGerald, Kristen; Kirby, Catherine
- Relation
- Australian Journal of Rural Health Vol. 31, Issue 5, p. 906-913
- Publisher Link
- http://dx.doi.org/10.1111/ajr.13022
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2023
- Description
- Introduction: Access to after-hours care (AHC) is an important aspect of general practice service provision. Objective: To establish the prevalence and associations of early-career GPs' provision of AHC. Design: An analysis of data from the New alumni Experiences of Training and independent Unsupervised Practice (NEXT-UP) cross-sectional questionnaire-based study. Participants were early-career GPs (6-month to 2-year post-Fellowship) following the completion of GP vocational training in NSW, the ACT, Victoria or Tasmania. The outcome factor was ‘current provision of after-hours care’. Associations of the outcome were established using multivariable logistic regression. Findings: Three hundred and fifty-four early-career GPs participated (response rate 28%). Of these, 322 had responses available for analysis of currently performing AHC. Of these observations, 128 (40%) reported current provision of AHC (55% of rural participants and 32% of urban participants). On multivariable analysis, participants who provided any AHC during training were more likely to be providing AHC (odds ratio (OR) 5.51, [95% confidence interval (CI) 2.80–10.80], p < 0.001). Current rural location and in-training rural experience were strongly associated with currently providing AHC in univariable but not multivariable analysis. Discussion: Early-career GPs who provided AHC during training, compared with those who did not, were more than five times more likely to provide after-hours care in their first 2 years after gaining Fellowship, suggesting participation in AHC during training may have a role in preparing registrars to provide AHC as independent practitioners. Conclusion: These findings may inform future GP vocational training policy and practice concerning registrars' provision of AHC during training.
- Subject
- after-hours care; education; medical; graduate; family practice; physicans
- Identifier
- http://hdl.handle.net/1959.13/1491885
- Identifier
- uon:53152
- Identifier
- ISSN:1038-5282
- Rights
- x
- Language
- eng
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