临床实践模式的紧急医生劳动力在磨损之前和之后
Doreen S Agboh1, Arjun K Venkatesh2, Craig Rothenberg1
1Department of Emergency Medicine, Yale School of Medicine, New Haven, CT.
Annals of emergency medicine
|March 6, 2025
概括
紧急医生在离开劳动力之前减少了他们的临床服务. 一部分转移到紧急护理和办公室设置,而另一些则完全离开实践.
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
- 紧急医疗 紧急医疗
背景情况:
- 紧急医生实践模式受到越来越严格的审查.
- 了解劳动力消耗对于医疗保健规划至关重要.
研究的目的:
- 在紧急医生退休之前评估临床服务量.
- 为了确定医生在离开紧急医疗后使用的实践设置.
主要方法:
- 对2013-2021年医疗保险数据的分析.
- 定义劳动力消耗是为紧急部门 (ED) 服务而没有收费.
- 检查了磨损前的ED服务量和磨损后的非ED实践设置.
主要成果:
- 在60,140名医生中,有13,888名医生表现出消耗 (每年3.1%-6.6%).
- 退休的医生在前一年提供了12.3%较少的ED服务.
- 27.9%的人在离开之前减少了>50%的服务; 23.7%的人转移到非ED环境 (紧急护理,办公室).
结论:
- 紧急医生在劳动力退出之前减少服务量.
- 少数离开医生的医生过渡到其他临床角色,通常是在紧急护理或办公室设置.
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