法国重症监护医生的供应不足:一个点患病率前性研究
Sacha Sarfati1, Stephan Ehrmann2, Dominique Vodovar3,4,5
1Medical Intensive Care Unit, Normandie Univ, UNIROUEN, UR 3830, CHU Rouen, 76000, Rouen, France.
Annals of intensive care
|June 18, 2024
概括
法国面临着重症监护室 (ICU) 医生的严重短缺,300个职位空缺,27%的ICU面临关闭的风险. 解决这个问题需要增加重症监护医疗住院人员的培训.
科学领域:
- 医疗保健管理的管理
- 医疗劳动力规划 医疗劳动力规划
- 关键护理医学 关键护理医学
背景情况:
- COVID-19大流行强调了重症监护室 (ICU) 在医疗保健系统中的重要作用.
- 人口老龄化和复杂的护理需求加剧了对ICU容量和医生可用性的预先存在的担忧.
- 2012年之前的评估强调了这些问题,需要进行当前评估.
研究的目的:
- 评估法国目前和预计的重症监护室 (ICU) 医生短缺情况.
- 更新2012年对ICU医生供需的评估结果.
- 确定导致医生空缺的因素及其对ICU功能的影响.
主要方法:
- 2022年1月,法国ICU进行了一项全国电子调查.
- 收集的数据包括ICU特征,医疗人员水平,医生人口统计和培训能力.
- 实现了83%的响应率,覆盖了242个设施的4943个ICU床位.
主要成果:
- 在全国范围内,共确定了300个全职相当 (FTE) 强症监护室医生职位空缺.
- 近三分之二的ICU报告了医生空缺,其中35%利用旅行医生.
- 非大学附属的公立医院受到影响最大;27%的ICU因空缺和退休而面临严重功能障碍或关闭风险.
结论:
- 自2012年以来,ICU医生供应的赤字恶化,导致空缺位增加.
- 需要采取紧急措施来解决法国急症监护室医生的严重短缺问题.
- 增加每年培训的重症监护医疗住院人员数量被提出为减轻未来ICU关闭和患者风险的关键解决方案.
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