儿童健康需求和发育行为儿科 劳动力供应:2020-2040年
Rebecca A Baum1, Brad D Berman2, Jill J Fussell3
1Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill/North Carolina Children's Hospital, Chapel Hill, North Carolina.
Pediatrics
|February 1, 2024
概括
美国面临着严重的发展行为儿科 (DBP) 专家短缺,目前和预计的数量不足以满足儿童的需求.
科学领域:
- 儿科子专业 劳动力分析
- 儿童神经发育和行为健康
背景情况:
- 发育行为儿科 (DBP) 子专家管理复杂的儿科神经发育和行为健康状况.
- 目前的DBP工作人员不足以满足患者和家庭的需求,地理差异很大.
- DBP的子专家还为教育,培训,宣传和研究做出贡献.
研究的目的:
- 预测从2020年到2040年的美国儿科子专业劳动力,特别是DBP.
- 评估 DBP 劳动力在预计的人口增长和疾病流行率方面的充分性.
- 为解决 DBP 劳动力短缺问题的战略提供信息.
主要方法:
- 利用美国儿科会基金会领导的劳动力建模项目.
- 根据基线和替代情景,预计DBP分专家供应 (人数和临床劳动力等价).
- 纳入了小专业培训和临床时间分配的当前趋势.
主要成果:
- 基线模型预测DBP子专家的全国人数增长 (+45%,669至958).
- 然而,调整为人口增长,每10万儿童的DBP专家预计只会略有增加 (到2040年为0.8至1.0HC,0.5至0.6临床劳动力相当).
- 即使是乐观的情景也对总体数字的影响很小,这表明劳动力赤字持续存在.
结论:
- 预计DBP子专家的增长不足以满足对儿科神经发育和行为健康服务的需求.
- 迫切需要在教育,培训,实践,政策和研究方面开发解决方案,以扩大DBP的劳动力.
- 解决 DBP 劳动力短缺问题对于改善整体儿童健康结果至关重要.
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