新興の医師の余剰の証拠はない. 医師の労働負荷と収入の変化の分析
1Department of Medicine, Tufts University School of Medicine, Boston, MA 02111.
JAMA
|January 26, 1990
まとめ
医師の需要は,1982年から1987年にかけて供給を上回り,医師の労働時間と収入が増加しました. 予測は継続的な需要を示しており,将来の医師の過剰の予測に挑戦しています.
科学分野:
- 健康経済学 医療経済学
- 医者の労働力分析 分析
- 医療サービス 需要 需要
背景:
- 1982年から1987年の医師の労働パターンと収入の分析.
- 医師の供給,患者ケア時間,および純収入の傾向を調べた.
- 患者の診察数と診察毎の時間における評価された変化.
研究 の 目的:
- 指定された期間の医師の需要と供給の関係を評価する.
- 観察された傾向を,大学院医学教育全国諮問委員会 (Graduate Medical Education National Advisory Committee) による医師過剰の予測と比較する.
- 現在の需要動向に基づいて,将来の医師の労働力需要を予測する.
主な方法:
- 医者の総労働時間,実際の純収入,患者訪問の分析.
- 医師の供給と需要の指標の成長率の比較.
- 1982年から1987年のデータを使用し,1988年の予備データも考慮した.
主要な成果:
- 医師の患者ケア時間は21%増加し,実際の純収入は30%以上増加しました.
- 医者の供給は,同じ期間にわずか16%増加した.
- 患者診察の数は9%増加し,患者診察に費やされる時間が増加したことを示唆しています.
結論:
- 医者の需要は,少なくとも供給と同じくらい急速に増加しており,過剰予想に反しています.
- 需要の継続的な上昇傾向は,予見可能な医師の余剰がないことを示唆しています.
- この予測を変更するには,利益のあるサービスの大幅な配給が必要になります.
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