鉴于COVID-19可能进行的许可改革

IF 1.7 Q3 HEALTH CARE SCIENCES & SERVICES Health Policy Open Pub Date : 2022-12-01 DOI:10.1016/j.hpopen.2021.100062
Edward Timmons , Conor Norris
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引用次数: 5

摘要

2020年,COVID-19威胁到医疗保健能力,迫使政策制定者颁布临时豁免许可限制。研究发现,职业许可减少了受监管领域专业人员的供应,减少了地域流动性,导致初级保健专业人员短缺。执业范围法降低了从业人员的灵活性,加剧了这些短缺。鉴于政策制定者和卫生保健专业人员认识到COVID-19大流行期间我们现行许可制度的缺点,我们应该考虑在不限制获取和降低灵活性的情况下仍能确保患者获得高质量护理的替代方案。我们将目前正在考虑的解决初级保健短缺问题的六种替代方案从最有效到最无效进行排名。虽然努力扩大医生或执业医师和执业医师的供应将是扩大获得初级保健的最有效改革,但其他更好地利用我们现有医疗保健专业人员供应的措施值得考虑。
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Potential licensing reforms in light of COVID-19

In 2020, COVID-19 threatened to overwhelm healthcare capacity, forcing policymakers to enact temporary waivers of licensing restrictions. Research finds that occupational licensing reduces the supply of professionals in a regulated field, and reduces geographic mobility, contributing to the primary care professional shortage. Scope of practice laws reduce the flexibility of practitioners, exacerbating these shortages. Given the fact that policymakers and healthcare professionals recognized the shortcomings to our current licensing regime during the COVID-19 pandemic, we should consider alternatives that still ensure quality care for patients without restricting access and reducing flexibility. We rank six alternatives currently being considered to address the primary care shortage from most to least effective. While efforts to expand the supply of physicians or NPs and PAs would be the most effective reforms to expand access to primary care, others that better utilize our existing supply of healthcare professionals are worth considering.

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来源期刊
Health Policy Open
Health Policy Open Medicine-Health Policy
CiteScore
3.80
自引率
0.00%
发文量
21
审稿时长
40 weeks
期刊最新文献
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