在资源不足的地区提供护理:医生助理/助理工作人员的贡献
Mirela Bruza-Augatis1, Bettie Coplan2, Kasey Puckett3
1National Commission on Certification of PAs, Johns Creek, GA, USA.
BMC health services research
|July 26, 2024
概括
医生助理/助理 (PA) 越来越多地在服务不足的地区执业,近23%的人在卫生专业人员短缺地区 (HPSA) 和医疗服务不足地区 (MUA) 工作. 农村实践,代表性不足的背景和多语种与这一趋势有关.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学劳动力研究 医学劳动力研究
- 农村卫生 农村卫生
背景情况:
- 理论上,医生助理/助理 (PA) 在服务不足的地区比医生更频繁地执业.
- 目前关于卫生专业人员短缺地区 (HPSA) 和医疗服务不足地区 (MUA) 的PA劳动力数据有限.
研究的目的:
- 描述HPSA/MUAs中PA的人口和实践概况.
- 将HPSA/MUA中的PA与其他实践环境中的PA进行比较.
主要方法:
- 分析2022年国家横截面数据集.
- 使用了描述性,双变量和多变量逻辑回归分析.
主要成果:
- 大约23%的PA在HPSA/MUAs中进行实践.
- 在HPSAs/MUAs中的PA通常在初级保健中 (34.6%),男性 (33.3%),来自农村/孤立地区 (15.6%),以及在医学 (URiM) 中代表性不足的背景 (14.0%).
- 农村居住,URiM身份和除英语以外的语言与在HPSA/MUAs执业的可能性更高有关.
结论:
- 了解PA在服务不足地区的劳动力属性至关重要.
- 这些知识可以指导策略,以加强PA的贡献,以解决供应商短缺问题.
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