在儿科胃肠病学中医生的工作量和实践管理
Kimberley A Chien1, Charlene Thomas2, Victoria Cooley2
1Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Weill Cornell Medicine, New York, New York, USA.
概括
儿科胃肠病学实践显示临床会议和工作相对值单位 (wRVU) 目标的变化. 医疗保健团队的人员配置和健康计划在各个实践中都是常见的.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗保健管理的管理
- 劳动力分析 劳动力分析
背景情况:
- 近几十年来,儿科胃肠病学工作人员的数量大幅扩大.
- 北美儿科胃肠病学,肝病学和营养学会 (NASPGHAN) 成立了一个工作组,以检查儿科胃肠病学组织内的实践结构.
研究的目的:
- 调查儿科胃肠病学组织当前的实践结构.
- 了解临床运营,人员配置,薪酬和健康举措的变化.
主要方法:
- 一项19项电子调查对NASPGHAN成员的临床或学术部门主任进行了管理.
- 该调查收集了有关实践结构,临床工作量,医疗保健团队组成,薪酬模式和健康计划参与的数据.
主要成果:
- 该调查获得了30%的回复率,仅来自学术实践主管.
- 平均每周的临床会议为七次,年平均工作相对值单位 (wRVU) 目标为4000-4500.
- 医疗保健团队比率 (每位提供者FTE) 包括:护士0.80,医疗助理 (MA) 0.29,营养师0.29,社会工作者0.14,和心理学家0.13.
- 薪酬模式各不相同,68%的薪酬是薪酬加奖金,28%的薪酬仅是薪酬,4%的薪酬包括风险部分.
- 大多数实践 (80%) 参与了健康活动,通常是关于医生倦怠的教学讲座,年度倦怠检查 (68%) 和社交活动 (60%).
结论:
- 儿科胃肠病学实践在每周的临床会议和年度wRVU目标中表现出变化,与国家第50百分点基准保持一致.
- 在不同的实践规模和类型中观察到一致的医疗保健团队人员配置比率.
- 大多数实践机构都在积极实施健康计划,以解决医生倦怠问题.
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