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胃肠病学工作人员建模模型
G S Meyer1, I Jacoby, H Krakauer
1Division of Health Services Administration, Center for Health Care Quality Assessment, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4999, USA.
JAMA
|September 4, 1996
概括
美国有过剩的胃肠科医生,他们的比例是卫生维护组织的两倍. 有证据表明,减少胃肠病学培训计划可能有利于医疗保健系统.
科学领域:
- 胃肠病学劳动力分析
- 医疗保健 劳动力规划 医疗保健 劳动力规划
- 医疗教育改革 医疗教育改革
背景情况:
- 在美国,胃肠病学家的数量迅速增长.
- 目前的胃肠科医生供应超过了典型的健康维护组织 (HMO) 的员工比例.
- 初级保健医生和其他专家执行许多胃肠病学任务,除了特定的程序.
研究的目的:
- 分析当前胃肠病学家的供应和分布.
- 在各种场景下预测未来的供应.
- 为胃肠病学劳动力改革提供框架.
主要方法:
- 使用1992年胃肠病学劳动力数据作为基线的人口建模.
- 分析当前的做法和分布.
- 用多个数据源 (区域资源档案,医疗保险数据,卫生专业局,管理护理模式,全国内部医学人力资源调查,人口普查局) 将供应,分配和实践资料与历史数据和未来预测进行比较.
主要成果:
- 胃肠科医生与人口的比例翻了一番,超过了HMO的平均水平.
- 胃肠科医生的工作在很大程度上与初级保健医生和其他专家分享.
- 这表明现场可能存在供应过剩.
结论:
- 经验证据支持减少胃肠病学培训计划.
- 胃肠道学领导委员会的目标是在5年内减少25-50%的实习生.
- 这项研究为医疗专业劳动力规划提供了一个模型.
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