医生队伍预测的复杂性:呼吁制定统一的国家医疗保健劳动力政策。

IF 4.3 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of General Internal Medicine Pub Date : 2024-11-01 Epub Date: 2024-07-29 DOI:10.1007/s11606-024-08966-6
Amirala S Pasha, Meredith A Niess, David C Parish, Tracey Henry, V Ram Krishnamoorthi, Robert B Baron, Shaowei Wan
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引用次数: 0

摘要

确保充足的医生供应对于保障未来的医疗保健至关重要。为此,需要对医生队伍进行准确预测,为决策者提供信息。然而,美国缺乏来自可靠来源的此类预测。一些非政府组织积极参与了量化劳动力需求的尝试,但它们通常采用不透明的方法,并且存在严重的矛盾,导致结果可能不可靠或有偏差。此外,虽然联邦和州政府每年在研究生医学教育(GME)上投入约 150 亿美元,但他们对如何使用这些资金来塑造未来的医生队伍几乎没有控制权。在这篇文章中,我们从国际和国内两个角度回顾了医生队伍的预测,最后讨论了在联邦层面建立一个非政治化、数据驱动、专家主导的小组,并赋予其足够的权力来影响更广泛的医生队伍政策,是确保未来几代人有充足医生供应的最佳解决方案。
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Complexities of Physician Workforce Projection: Call for a Unified National Healthcare Workforce Policy.

Ensuring an adequate supply of physicians is paramount in securing the future of healthcare. To do so, accurate physician workforce predictions are needed to inform policymakers. However, the United States lacks such predictions from reliable sources. Several non-governmental organizations have actively been involved in attempting to quantify workforce needs, but they often employ opaque methodologies and are deeply conflicted, leading to potentially unreliable or biased results. Moreover, while federal and state entities invest approximately $15 billion annually in graduate medical education (GME) payments, they have very little control over how the funding is used to shape the future physician workforce. In this article, we review physician workforce predictions from both an international and a domestic perspective and finally discuss how the creation of an apolitical, data-driven, expert-led panel at the federal level with sufficient authority to influence broader workforce policy is the optimal solution for ensuring an adequate supply of physicians for generations to come.

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来源期刊
Journal of General Internal Medicine
Journal of General Internal Medicine 医学-医学:内科
CiteScore
7.70
自引率
5.30%
发文量
749
审稿时长
3-6 weeks
期刊介绍: The Journal of General Internal Medicine is the official journal of the Society of General Internal Medicine. It promotes improved patient care, research, and education in primary care, general internal medicine, and hospital medicine. Its articles focus on topics such as clinical medicine, epidemiology, prevention, health care delivery, curriculum development, and numerous other non-traditional themes, in addition to classic clinical research on problems in internal medicine.
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