创伤和骨科顾问职位的频率正在下降,子专业化正在增加吗?
James Andrew Kennedy1, Saif Akhter Ansari2,3,4, Sophie Rogers1
1Health Education North West Trauma and Orthopaedics, Health Education North West, Manchester, UK.
创伤和骨科 (T&O) 顾问职位的总数在2011年至2020年期间每年减少13%. 与预期相反,子专业化没有显著增加,但以创伤为重点的角色下降.
科学领域:
- 医学和健康科学医学和健康科学
- 整形外科手术 整形外科手术
- 公共卫生政策 公共卫生政策
背景情况:
- 国家卫生服务 (NHS) 的重组影响了创伤和骨科 (T&O) 外科医生的角色和培训.
- 人口需求和NHS配置的变化影响了T&O外科医生角色和顾问的可用性.
- 了解广告中的T&O顾问职位的趋势对于劳动力规划至关重要.
研究的目的:
- 分析2011年至2020年广告中的T&O顾问职位的趋势.
- 评估工作频率和分专业化要求的变化.
- 评估对NHS劳动力和培训的影响.
主要方法:
- 从2011年1月到2020年4月,对英国医学杂志 (BMJ) 451卷的系统审查.
- 记录了广告中的T&O顾问职位总数,包括分专业,地区和任期 (实名/locum).
- 采用了统计分析,包括负二项式和二项式重复测量与多层结构和GARCH模型.
主要成果:
- 总共有1141个T&O顾问职位被广告.
- 观察到广告公布职位总数每年显著下降13%.
- 指定创伤子专业的职位在2012年之后显著下降;实质性职位增加,而局部职位减少.
结论:
- 与之前的文献相反,没有发现T&O职位专业化的显著增加.
- 总体上,T&O顾问职位的减少是显而易见的,特别是在西北地区和苏格兰.
- 未来的T&O工作人员规划必须与不断变化的人口需求和NHS服务需求保持一致.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
相关概念视频
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Tertiary Healthcare System
Secondary Healthcare System
Traditional Level Of Health Care System
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Current Trends in Nursing I
