主要护理实践特征与医务助理人员比例相关
Hector P Rodriguez1, Alena D Berube2, Dorothy Y Hung3
1School of Public Health, University of California, Berkeley, California hrod@berkeley.edu.
Annals of family medicine
|May 28, 2024
概括
大多数初级保健实践缺乏足够的医疗助理 (MA) 人员. 在2021年,只有11.4%的实践在每位初级保健医生 (PCC) 上有2个以上的MAs,独立和集团拥有的实践显示出更高的比例.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级保健工作人员分析
- 医务助理 工作人员 模型 模型
背景情况:
- 优化员工比例对于高效的初级保健提供至关重要.
- 了解影响医务助理 (MA) 对初级保健临床医生 (PCC) 比例的因素对于实践管理至关重要.
- 以前对成人初级保健中MA人员数量的描述是有限的.
研究的目的:
- 描述成人初级保健医务助理 (MA) 人员.
- 为了确定与MA相关的初级保健实践特征,每个初级保健临床医生 (PCC) 的员工比例.
主要方法:
- 从国家卫生保健组织和系统调查 (n=1,252) 的数据分析.
- 检查与MA:PCC人员比例相关的初级保健实践特征.
- 使用几率比率 (OR) 进行统计分析,以比较实践类型和组织文化.
主要成果:
- 在2021年,只有11.4%的初级保健实践报告每PCC有2个或更多的MA.
- 独立 (OR=1.76) 和医疗集团拥有的 (OR=2.09) 实践比系统拥有的实践更有可能具有更高的MA:PCC比率.
- 具有创新的组织文化的实践也更有可能报告更高的MA:PCC比率 (P<0.05).
结论:
- 大多数初级保健实践中没有足够的医务助理.
- 实践所有权 (独立,集团) 和组织文化 (创新) 与更高的MA人员水平有关.
- 研究结果表明,需要制定战略来改善初级保健机构的MA人员配置.
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