全民获得初级保健:解决罗德岛初级保健危机的路线图
Jeffrey Borkan1, Denise Coppa2, Patricia Flanagan3
1Department of Family Medicine, The Warren Alpert Medical School of Brown University, Providence, R.
Rhode Island medical journal (2013)
|March 27, 2024
概括
罗德岛面临着初级保健危机,很少有居住和培训课程的毕业生计划在该州执业. 迫切需要战略来招募和留住基本的初级保健提供者.
科学领域:
- 医疗保健工作人员分析
- 提供初级保健系统.
- 医疗教育和培训 医疗教育和培训
背景情况:
- 罗德岛州的初级保健系统正因提供者短缺而面临危机.
- 这种短缺影响到服务的获取,预计如果不进行干预,就会恶化.
- 在初级保健医疗住院,执业护士 (NP) 和医生助理 (PA) 计划中,不够数量的学员打算在该州执业.
研究的目的:
- 评估罗德岛州初级保健提供者的管道.
- 为招聘,培训,保留和维持初级保健提供者的战略提供信息.
- 为了解决该州初级保健专业人员的严重短缺问题.
主要方法:
- 对罗德岛所有初级保健医疗住院,NP和PA计划的项目主管进行了调查.
- 收集了关于实习生人数,入学人数和最近毕业生打算在该州从事初级保健的数据.
- 分析了罗德岛州内计划从事初级保健工作的毕业生数量的数据.
主要成果:
- 从2022-23学年开始,只有14% (106人中15人) 的初级护理医院毕业生计划在罗德岛执业.
- 33% (48的144) 的NP和PA毕业生从初级保健计划打算在州实践初级保健.
- 在初级保健学员数量和那些致力于在罗德岛执业的人数之间存在很大的差距.
结论:
- 罗德岛州的初级保健准入有进一步侵蚀的风险,原因是提供者倦怠,工作时间缩短和退休.
- 护理转型协作RI (CTC-RI) 工作组已经制定了一份战略路线图,以应对这些劳动力挑战.
- 需要立即和实质性的行动来加强罗德岛的初级保健提供者劳动力.
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