研究生医学教育改革将如何影响专业和地理区域?
1Department of Preventive Medicine, University of Wisconsin-Madison School of Medicine 53706-1532.
JAMA
|July 6, 1994
概括
减少研究生医学教育 (GME) 职位将减少新医生的数量,但医生与人口的比例仍将上升. 为了实现劳动力目标,需要对GME进行重大改变.
科学领域:
- 卫生政策 卫生政策
- 医学教育 医学教育
- 医疗卫生工作人员分析分析
背景情况:
- 研究生医学教育 (GME) 在塑造医生劳动力的过程中起着至关重要的作用.
- 当前的GME政策影响了一般医生和专家的供应.
- 预测劳动力改革的影响对于未来的医疗保健规划至关重要.
研究的目的:
- 预测GME拟议的劳动力改革的专业和地理影响.
- 分析GME输入的变化如何影响医生实践输出.
主要方法:
- 使用1987年美国医学院协会 (AAMC) GME人口普查数据开发了一个人口统计寿命表模型.
- 1992年GME队列作为模拟政策影响的基准.
- 模拟比较了医生产出的替代专业和区域GME政策.
主要成果:
- 将GME投入减少到美国医学毕业生的110%,其中55%进入全科医生实践,将第一年职位从24,433人减少到18,783人.
- 在平衡状态下,GME的总居民人数将从103,858人减少到80,699.
- 尽管减少了,但医生与人口的比例预计将增加,尽管速度较慢. 一般专家的数量将增加,而专家的数量将大幅下降.
结论:
- 为了实现减少医生产量和增加通用医生的国家目标,需要对GME池进行实质性的改变.
- 医院需要足够的时间和资金来适应服务模式,以实现员工目标.
- 政策变化必须考虑GME职位的专业分布和地理分配.
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