国家卫生服务队的临床医生和弱势群体之间的种族和种族一致性
Olesya Baker1, Marcela Horvitz-Lennon2, Hao Yu1
1Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
JAMA network open
|March 20, 2024
概括
国家卫生服务队 (NHSC) 的扩张改善了服务不足地区白人和黑人患者的种族和种族一致性. 然而,它导致西班牙裔临床医生的代表性不足,需要有针对性的招聘努力.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 医疗保健中的人口趋势
背景情况:
- 患者和临床医生之间的种族和种族一致性至关重要,但缺乏关于服务不足地区临床医生多样性的数据.
- 国家卫生服务队 (NHSC) 计划旨在改善医疗服务不足地区的医疗保健服务.
研究的目的:
- 评估NHSC临床医师多样性的趋势以及与卫生专业人员短缺地区 (HPSA) 人口的种族/种族一致性.
- 评估2009年NHSC计划扩展之前和之后的一致性变化.
主要方法:
- 这是一项基于人口的横截面研究,分析了NHSC现场实力数据库和区域卫生资源文件 (2003-2019).
- 计算年度社区代表性比,以衡量临床医生人口的种族/种族一致性.
- 分析了初级保健,心理健康和牙科专业的趋势.
主要成果:
- 在2009年后,NHSC的临床医生人数显著增加.
- 2009年后,非西班牙裔白人和黑人个体的一致性有所改善.
- 最初代表人数过多的西班牙裔临床医生在扩张后由于其比例急剧下降而变得代表人数不足.
结论:
- 2009年NHSC扩展改善了一些种族/族群的协同性,但对西班牙裔个人来说情况恶化了.
- 有针对性的招聘策略对于在服务不足的地区增强西班牙裔临床医生的代表性至关重要.
- 解决临床医生的多样性对于与美国日益增长的西班牙裔人口保持一致至关重要.
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