了解儿科内分泌学劳动力的下降以及前进的道路
Charles A Gagnon-Vargas1, Ilene Fennoy2, Alicia M Diaz Thomas3
1University of Alabama at Birmingham Marnix E., Heersink School of Medicine, Birmingham, Alabama.
儿科内分泌学工作人员面临着严重的短缺,原因是申请人数下降和空缺职位. 解决低工资,债务和倦怠问题对于改善内分泌系统疾病儿童的护理机会至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 医疗劳动力分析 医疗劳动力分析
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 儿科1型和2型糖尿病,内分泌和脂质疾病的发病率不断上升.
- 对于儿科内分泌学服务的需求日益增加.
- 人们越来越担心在服务不足的地区获得医疗保健.
研究的目的:
- 为了评估儿科内分泌和糖尿病的劳动力短缺.
- 确定导致危机的关键因素.
- 为劳动力复兴提出可行的战略.
主要方法:
- 分析儿科内分泌学奖学金趋势 (2015-2025):申请人数,职位可用性和填补率.
- 检查影响招聘,留住和提供者福祉的系统和结构因素.
- 审查财务补偿,培训时间和临床工作量.
主要成果:
- 尽管职位增加,但奖学金申请人数下降了4.6%,近三分之一的职位仍未被填补.
- 低财政补偿,大量的医疗教育债务,长时间的培训和高的工作负担导致了倦怠和不断扩大的劳动力差距.
- 越来越少的医学学生进入儿科,加剧了短缺,导致分配不当,影响了对护理的准入,特别是在农村地区.
结论:
- 儿科内分泌学工作人员处于关键时刻,需要紧急干预.
- 关键策略包括改善补偿,扩大贷款宽恕和改革偿还模式.
- 整合内分泌学教育,承认非临床工作和扩大远程医疗对于振兴劳动力和满足患者需求至关重要.
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