Skoðanir lækna á starfssviðum sérgreina IV : hverjir eiga að sjá um ákveðna sjúklingahópa og heilsuvernd
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Other TitlesNon-physical territoriality in health care organization in Iceland. IV.
CitationLæknablaðið 1991, 77(2):72-6
AbstractGeneral practice/family medicine is a rather new and expanding disciplin. In a study from Gothenburg, published 1986, hypotheses on conceptual or non-physical territorial behaviour were developed and tested. Among other things it was observed that members of a professional group want as big territoriality as possible for themselves. This trend can possibly explain some of the conflicts between general practitioners (GPs) and other specialists. In 1988 similar studies to those in Sweden were carried out in the other Nordic countries. This paper is number four of five subsequent articles with the results from Iceland, dealing with the hypotheses that GPs are inclined to include almost all primary health care in their own responsibility and that other specialists want to make a contribution in primary health care. Questionnaires with 65 statements and some background variables were mailed to 185 physicians in seven specialities. Total response rate was 81.1%. Physicians accept in general that the GPs should themselves examine and treat diseases in children, elderly, women and psychiatric disorders, where they think the knowledge and equipment of other specialities is unnecessary. As expected the GPs were more positive to these ideas than doctors in other specialities. Specialists seem to be of the opinion that hospital doctors should be involved in special preventive tasks outside hospitals such as maternity and child health care and the school health service. There is a great disagreement what sort of doctors should be involved in the school health care. 84% of pediatricians are of the opinion that the school health care should recruit pediatrician from a nearby pediatric clinic when possible. The GPs totally (100%) disagree. The possibility of a cooperation of GPs and other specialities was not investigated in this study and that might have led to more agreement to all parties.
Þetta er fjórða greinin af fimm um afstöðu lækna til verkaskiptingar og tilhneigingu til vallhöslunar (non-physical territorial behaviour). Í fyrri greinum (1-3) var þetta hugtak útskýrt. Þar kom fram ólík afstaða heimilislækna annars vegar og annarra sérfræðinga hins vegar til heildrænnar yfirsýnar, gagnsemi tilvísana og nauðsynjar þess að stýra »sjúklingaflæðinu«. Læknar voru einhuga um það að heimilislæknar ættu að fara í vitjanir og sjá um sjúklinga með óljós einkenni. Í þessari grein er fjallað um það hvaða sérgreinar eigi einkum að sinna vissum sjúklingahópum og heilsuvernd.
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