评估紧急医疗服务工作人员的变化:一项初步的多州研究
Jordan D Kurth1, Jonathan R Powell1,2, Christopher B Gage1,2
1National Registry of Emergency Medical Technicians Columbus Ohio USA.
紧急医疗服务 (EMS) 的劳动力分析显示,从2017年至2020年间,医疗人员的持续增长,其中18-30%的临床医生进入现场. 了解临床医生的进入,保留和退出对于EMS稳定至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
背景情况:
- 人们越来越担心美国紧急医疗服务 (EMS) 工作人员的稳定性和实力.
- 之前的报道表明,许多社区的劳动力面临着广泛的挑战.
研究的目的:
- 通过评估临床医生进入,留住和退出,估计EMS工作人员的变化.
- 分析认证的EMS工作人员和患者护理EMS工作人员的动态.
主要方法:
- 在9个州进行了为期4年的追溯队列评估 (2017-2021年).
- 该研究包括所有经过认证的EMS临床医生 (EMT级别及以上),需要获得国家EMS认证才能获得执照.
- 分析了两个人群的数据:认证劳动力和患者护理劳动力.
主要成果:
- 超过62,000名经过认证的EMS临床医生被评估,其中超过52,000人提供患者护理.
- 经过认证的18%-20%的员工和29%-30%的患者护理员工进入了现场.
- 尽管退出率各不相同 (16%-33%),但这两个劳动力从2017年到2020年都经历了净增长 (认证:8.8%,患者护理:7.6%).
结论:
- 本研究提供了对9个州EMS劳动力动力学的综合人口层面评估.
- 它是对EMS劳动力趋势进行更深入分析的基本步骤.
- 了解这些动态对于解决EMS劳动力稳定性和挑战至关重要.
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