医生需要. 从对大型预付集团实践的研究中得到的另一种预测
1Department of Medicine, St Paul-Ramsey Medical Center, Minn, 55101.
JAMA
|April 7, 1989
概括
这项1983年的研究模拟了医生对管理护理的需求,发现每10万人至少需要111名医生,对初级保健医生的需求比之前预测的要大.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 医疗劳动力规划 医疗劳动力规划
背景情况:
- 评估医生需求对于医疗保健系统规划至关重要.
- 管理护理组织 (MCOs) 为医生提供了独特的模型.
- 以前的预测可能没有完全捕捉到MCO特定需求.
研究的目的:
- 在管理医疗保健系统中模拟医生需求.
- 确定大型健康维护组织 (HMO) 中医生与会员的比例.
- 将发现与现有的医生需求和供应预测进行比较.
主要方法:
- 在1983年调查了七个大型,封闭式HMO的医疗主管 (每个HMO>100,000名成员).
- 根据专业和注册会员的全职等价 (FTE) 医生收集的数据.
- 在可能的情况下,包括签约的计划外医生.
主要成果:
- 分析了4779.4名FTE医生的数据,为4,297,790名会员提供服务.
- 建立了管理护理的医生与人口比率模型.
- 与预测相比,确定了初级保健医生的潜在缺口.
结论:
- 建议每10万人口中至少需要111名医生,以便管理护理系统强调减少利用.
- 突出了对初级保健医生的需求比研究生医学教育国家咨询委员会预测的要大.
- 强调在管理护理环境中对专业特定的医生劳动力建模的重要性.
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