衡量初级保健能力:每年看到的独特患者和对劳动力短缺的影响
Jacqueline B Britz1, Adam J Funk1, Roy T Sabo1
1Virginia Commonwealth University, Department of Family Medicine and Population Health, Richmond, VA (JBB, JHL, BW, MB, SMS, HS, AHK); Virginia Commonwealth University, Department of Biostatistics, Richmond, VA (AJF, RTS); Virginia Commonwealth University, Wright Center for Clinical and Translational Science, Richmond, VA (EF); Virginia Center for Health Innovation, Richmond, VA (LW); Virginia Commonwealth University, Department of Health Policy, Richmond, VA (LW); and The American Board of Family Medicine, Lexington, KY (AB, ZJM).
弗吉尼亚州面临着日益严重的初级保健医生短缺问题,在2021年出现28.8%的赤字. 这种严重的短缺是由不断增加的患者负担和老龄化的医生劳动力驱动的,这影响了全州的医疗保健准入.
科学领域:
- 医疗保健工作人员分析
- 公共卫生政策 公共卫生政策
- 医生人口统计学
背景情况:
- 美国日益严重的初级保健医生 (PCP) 短缺.
- 对PCP的时间和患者数量的需求日益增加.
- 需要更新弗吉尼亚州PCP劳动力短缺估计.
研究的目的:
- 更新弗吉尼亚州初级保健医生 (PCP) 劳动力短缺估计.
- 评估每年每位PCP看到的独特患者的数量.
- 根据医生,实践和社区特征评估患者负载的变化.
主要方法:
- 从2016年到2021年对弗吉尼亚州所有付款人索赔数据库 (APCD) 的分析.
- 包括许可证,索赔,人口普查和临床医生调查数据.
- 代启动模拟以估计PCP短缺,考虑到面板规模和全职等效 (FTE).
主要成果:
- 在2021年,弗吉尼亚州有4,508名PCP,其中34.2%的年龄超过60岁.
- 每个PCP的中位数为1,290名单一患者;平均每年总访问量为2,800.
- 预计2021年PCP缺口将达到28.8%,高于2016年的17.7%.
结论:
- 初级保健工作人员短缺比以前估计的要严重.
- 患者数量和FTE显著影响短缺计算.
- 理想的PCP患者小组规模需要考虑临床复杂性和实践资源.
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