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Journal of medical regulation最新文献

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Musings on Healthcare… and Seeking Value-Based Healthcare 关注医疗保健…寻求基于价值的医疗保健
Pub Date : 2023-06-01 DOI: 10.30770/2572-1852-109.2.8
H. M. Koenig
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引用次数: 0
Collaboration, Not Competition: Working Together with Intention to Ensure Patient Safety 合作,而非竞争:携手合作,确保患者安全
Pub Date : 2023-06-01 DOI: 10.30770/2572-1852-109.2.6
J. Carter
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引用次数: 0
News & Notes 新闻,笔记
Pub Date : 2023-06-01 DOI: 10.30770/2572-1852-109.2.4
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引用次数: 0
State Member Board Briefs 成员国理事会简报
Pub Date : 2023-06-01 DOI: 10.30770/2572-1852-109.2.31
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引用次数: 0
Response to Barrett, et al, and Harter 对Barrett等人和Harter的回应
Pub Date : 2023-06-01 DOI: 10.30770/2572-1852-109.2.12
Gordon Giddings
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引用次数: 0
Response to “Do Medical Licensing Questions on Health Conditions Pose a Barrier to Physicians Seeking Treatment? A Literature Review” 对“关于健康状况的医疗执照问题会对医生寻求治疗构成障碍吗?”《文献综述》
Pub Date : 2023-06-01 DOI: 10.30770/2572-1852-109.2.10
R. O. Sonfist, A. Diaz, E. Barrett
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引用次数: 0
The Doctor Who Wasn't There: Technology, History, and the Limits of Telehealth 不在的医生:技术、历史和远程医疗的局限
Pub Date : 2023-06-01 DOI: 10.30770/2572-1852-109.2.29
Punam Patel, U. Shah
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引用次数: 0
Models in Professional Regulation: Choices for Atlantic Canada? 职业监管模式:大西洋加拿大的选择?
Pub Date : 2023-03-01 DOI: 10.30770/2572-1852-109.1.22
Louise R Sweatman
This paper will identify existing models of professional regulatory reform that could ensure a single licensing process that results in multi-jurisdictional licensure. The paper will also distinguish models or ad hoc arrangements that fail to achieve such a result. This is a timely topic in Canada because its professional regulatory framework is being examined for modernization. The Canadian professional regulatory framework for health care providers is a legacy of the Constitution of 1867. It can be characterized as a Federation of 13 different jurisdictional systems with each province or territory having exclusive jurisdiction over regulation of its health professionals. This results in differing entry to practice requirements, standards of practice, classes or categories of registration and transfer criteria for eligibility from other provinces. The United States nursing state board regulators, the Australian Commonwealth, and their state governments have moved from their original regulatory frameworks to modern ones. Their models are more supportive of mobility, cross-border virtual care, education, and health provider professional development and well-being. Aside from recent discussions in the 4 Canadian Atlantic provinces, there has been little will, effort, or advancement to modernize the regulatory framework in Canada to support multi-jurisdictional licensure. This paper aims to briefly describe 6 existing models that support multijurisdictional licensure. In the fall of 2022, the 4 Atlantic Premiers (akin to state Governors in the US) asked each of their medical regulatory authority (akin to State Medical Boards) to develop a licensing system such that physicians could practice in all 4 Atlantic provinces without the need to acquire multiple licenses. Two models will be discussed that meet this recently stated objective of the Atlantic Premiers while the others do not.
本文将确定现有的专业监管改革模式,这些模式可以确保单一的许可程序,从而产生多司法管辖区的许可。该文件还将区分未能实现这一结果的模式或特设安排。这在加拿大是一个及时的话题,因为其专业监管框架正在进行现代化审查。加拿大医疗保健提供者的专业监管框架是1867年《宪法》的遗产。它可以被描述为一个由13个不同管辖系统组成的联邦,每个省或地区对其卫生专业人员的监管拥有专属管辖权。这导致不同的执业要求、执业标准、注册类别或类别以及从其他省份获得资格的转移标准。美国护理州委员会监管机构、澳大利亚联邦及其州政府已从最初的监管框架转向现代监管框架。他们的模式更支持流动性、跨境虚拟护理、教育以及医疗服务提供者的专业发展和福祉。除了最近在加拿大大西洋4个省进行的讨论外,加拿大几乎没有意愿、努力或进展来实现监管框架的现代化,以支持多司法管辖区的许可。本文旨在简要介绍支持多司法管辖区许可的6种现有模式。2022年秋天,4位大西洋省省长(类似于美国各州州长)要求各自的医疗监管机构(类似于州医疗委员会)制定一个许可证制度,使医生可以在大西洋所有4个省执业,而无需获得多个许可证。将讨论两种模型,以满足大西洋首映式最近宣布的目标,而其他模型则不满足。
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引用次数: 0
A Shift Left: Revised Regulations for Opioid Prescribing in New Jersey 左移:新泽西州阿片类药物处方修订条例
Pub Date : 2023-03-01 DOI: 10.30770/2572-1852-109.1.29
Scott Metzger, O. Metzger
The opioid epidemic has caused devastation in both the state of New Jersey and the nation, highlighting the need to make opioid prescribing practices safer. Preventing unnecessary initiation of opioids and ensuring opioid therapy is discontinued when appropriate are necessary parts of combating the opioid epidemic. To give prescribers a framework to provide the safest and most effective care, in February 2021 the New Jersey State Board of Medical Examiners unanimously approved proposed updates to opioid-prescribing regulations in the state. The updated prescribing regulations in New Jersey ensure patients who receive an opioid prescription for chronic pain have the assurance of a treatment plan, an assessment of risks, and monitoring for benefits and harms of therapy. This approach preserves access to care for patients in need while minimizing risks of abuse, diversion, and addiction. New regulations define treatment plans and require specific documentation for health care providers (HCPs) treating patients with chronic pain, giving HCPs tools to prescribe safely. The success of the regulatory updates can be measured by decreases in new cases of opioid-use disorder (OUD) and overdose deaths throughout New Jersey. New Jersey's updated regulations can serve as a model with nationwide applicability.
阿片类药物的流行在新泽西州和全国都造成了破坏,凸显了使阿片类处方更安全的必要性。防止不必要地引发阿片类药物,并确保在适当的时候停止阿片类治疗,是对抗阿片类疾病流行的必要组成部分。为了给处方医生提供一个提供最安全、最有效护理的框架,2021年2月,新泽西州医学检查委员会一致批准了该州阿片类药物处方法规的拟议更新。新泽西州最新的处方规定确保接受阿片类药物治疗慢性疼痛处方的患者能够保证治疗计划、风险评估以及监测治疗的益处和危害。这种方法保留了有需要的患者获得护理的机会,同时将虐待、转移注意力和成瘾的风险降至最低。新法规定义了治疗计划,并要求医疗保健提供者(HCP)治疗慢性疼痛患者的具体文件,为HCP提供了安全处方的工具。监管更新的成功可以通过新泽西州新的阿片类药物使用障碍(OUD)和过量死亡病例的减少来衡量。新泽西州的最新法规可以作为全国适用的典范。
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引用次数: 0
Increasing Access to a Diverse Mental Health Workforce Through Emergency Reciprocity Licensure 通过紧急互惠许可证增加获得多样化精神卫生人力的机会
Pub Date : 2023-03-01 DOI: 10.30770/2572-1852-109.1.5
A. Nguyen, Magda Schaler-Haynes, Jolene C. Chou, M. Nowels, Danielle H Llaneza, Elissa Kozlov
New Jersey's COVID-19 Temporary Emergency Reciprocity Licensure Program provided temporary licenses to more than 31000 out-of-state healthcare practitioners, over a quarter of whom were mental health providers. As the need for mental health care accelerated during the pandemic, especially among health disparity populations, expanding mental health provider pools may be a critical tool to increase access to care. In January 2021, we surveyed New Jersey's temporary licensees. We analyzed over 4500 mental health provider responses to examine the impact of the temporary licensure program on access to mental health care overall and on enhancing a diverse mental health workforce. Over 3700 respondents used their temporary license to provide mental health care to New Jersey patients. About 7% of respondents self-identified as Hispanic, 12% Black, 6% Asian, 1% American Indian or Alaska Native, and 0% (more than 5) Native Hawaiian or other Pacific Islander. They treated about 30100 New Jersey patients, 40% of whom were new to the provider, and 81% delivered care exclusively using telehealth. Respondents conversed with patients in at least 13 languages. About 53% served at least one patient from an underserved racial/ethnic minority group. Our findings suggest that temporary out-of-state mental health providers helped enhance mental health care continuity and access.
新泽西州的新冠肺炎临时紧急互惠许可证计划为31000多名州外医疗从业者提供了临时许可证,其中超过四分之一是心理健康提供者。随着疫情期间对心理健康护理的需求加速,特别是在健康差异人群中,扩大心理健康提供者库可能是增加获得护理机会的关键工具。2021年1月,我们调查了新泽西州的临时许可证持有人。我们分析了4500多份心理健康提供者的回复,以检查临时许可证计划对获得心理健康护理的总体影响以及对增强多样化心理健康劳动力的影响。3700多名受访者使用他们的临时执照为新泽西州的患者提供心理健康护理。约7%的受访者自称为西班牙裔,12%为黑人,6%为亚洲人,1%为美洲印第安人或阿拉斯加原住民,0%(超过5)为夏威夷原住民或其他太平洋岛民。他们治疗了大约30100名新泽西州患者,其中40%是新来的,81%的患者完全使用远程医疗提供护理。受访者用至少13种语言与患者交谈。约53%的患者至少为一名来自服务不足的种族/少数民族群体的患者提供服务。我们的研究结果表明,临时的州外心理健康提供者有助于提高心理健康护理的连续性和可及性。
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引用次数: 1
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Journal of medical regulation
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