Comparing the perspectives of Primary Care doctors in the Canary Islands and Alberta (Canada)

作者：Mahtani Chugani Vinita^*; Lopez Hijazo Asuncion; Manca Donna; Sanz Alvarez Emilio

来源：Atencion Primaria, 2012, 44(5): 265-271.

DOI：10.1016/j.aprim.2011.04.003

• Qualitative research
• Physicians
• Health Care services

Objective: To examine the advantages and disadvantages of two different Health Care Systems from the perspective of Primary Care (PC) physicians. %26lt;br%26gt;Design: Qualitative research based on the analysis of documents written as diaries for the study. %26lt;br%26gt;Setting: Primary Care in the Canary Islands (Spain) and Alberta (Canada) %26lt;br%26gt;Context and participants: Intentional sample to identify different profiles of physicians. %26lt;br%26gt;Method: Participants were asked to write a document describing their work activities, including the impact of the organisational system and on their personal life. Two representatives of the health care system were asked to write a detailed description about how PC is organised in their country. Nine diaries were collected (5 from the Canary Islands and 4 from Alberta). Ritchie a Spencer framework was used for the analysis. %26lt;br%26gt;Results: In Alberta, physicians have access to more complementary tests; they can offer hospital care; they have to sort out administrative work; they can choose were to work; and can specialise in different types of health care services. In the Canary Islands physicians can have paid holidays and the administrative issues do not depend on them, patients have a physician assigned and seem to have more institutional support. %26lt;br%26gt;Conclusions: The results of this study allow us to constructively analyse the role of PC physicians, assess the advantages and re-think the disadvantages related to how we work in order to learn from other health care systems.

• 出版日期2012-5