家庭医生劳动力趋势:农村社区的损失
Colleen T Fogarty1,2, Hoon Byun2, Alison N Huffstetler2,3
1University of Rochester School of Medicine & Dentistry, University of Rochester Medical Center, Rochester, New York colleen_fogarty@urmc.rochester.edu.
Annals of family medicine
|November 24, 2025
概括
农村地区的家庭医生数量在2017年至2023年期间在全国范围内下降了11%. 这种下降凸显了需要区域战略来支持农村医疗保健工作人员的需要.
科学领域:
- 医学教育 医学教育
- 农村卫生 农村卫生
- 健康劳动力研究 卫生劳动力研究
背景情况:
- 由于缺乏足够的初级保健提供者,农村医疗保健系统面临重大挑战.
- 家庭医生对于农村医疗保健基础设施至关重要.
- 目前的农村医生劳动力水平无法满足现有的需求.
研究的目的:
- 分析2017年至2023年美国农村地区积极执业的家庭医生数量的趋势.
- 确定农村家庭医生劳动力下降的区域差异.
- 为加强农村医疗保健工作人员的战略提供信息.
主要方法:
- 利用美国医学协会的医生主档来识别积极执业的美国家庭医生.
- 分析了2017年至2023年的数据.
- 按实践区域分类医生,以评估农村劳动力变化.
主要成果:
- 观察到,在农村地区执业的家庭医生数量同比持续下降.
- 在全国范围内,在7年的研究期间,农村家庭医生净损失为11%.
- 东北地区的百分比损失最大,而西部的损失最小.
结论:
- 农村家庭医生数量的下降对这些社区的医疗保健获得构成重大威胁.
- 要解决农村家庭医生短缺问题,需要采用量身定制的区域方法.
- 基于农村社区的医学院途径计划等倡议可能对未来的劳动力发展至关重要.
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