内部和外部雇佣的医生任期和临床生产力:一个回顾性队列研究
Yufei Li1,2, Kyle Barr1, Steven D Pizer1,2
1Partnered Evidence-Based Policy Resource Center, VA Boston Healthcare System, Boston, MA, USA.
Journal of general internal medicine
|January 8, 2025
概括
新医生最初表现出较低的生产力,但随着任期的推移,效率会提高. 内部雇员比外部雇员更快地实现更高的生产率,影响医疗保健系统规划.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医生劳动力研究 医生劳动力研究
- 医疗保健管理的管理
背景情况:
- 医生的生产力对于医疗保健系统的效率至关重要.
- 关于医生任期如何影响临床生产力的数据有限.
- 了解这种关系可以为人员和资源分配提供信息.
研究的目的:
- 评估退伍军人卫生管理局 (VHA) 任期与主治医生的生产力之间的关联.
- 为了确定先前的VHA培训是否会影响这种土地所有权与生产率的关系.
- 为优化医生入学和留学提供洞察力.
主要方法:
- 对34,878名VHA护理医生进行了回顾性队列评估.
- 分析2017年10月至2023年8月的门诊接触情况.
- 医生按VHA任期 (新雇员与现有雇员) 和培训来源 (内部与外部雇员) 分类.
主要成果:
- 与现有医生相比,新员工在每天的诊所接触次数要少得多,尤其是在第一年.
- 新员工的生产率随着任期的增长而增加,在两年内接近平价.
- 内部雇员的生产率高于外部雇员,特别是在初级保健和外科专业.
结论:
- 在VHA中,医生任期与临床生产率有积极的关联.
- 内部医生招聘表现出更快的学习曲线和更高的生产力.
- 这些发现对于管理医生流动成本和患者接入的卫生系统至关重要.
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