基于人口的专职医疗队伍需求指标模型:足病学概念验证。

Joshua Horsley, Susan Nancarrow
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引用次数: 0

摘要

目标由于没有足够的指标来准确反映人口对服务的需求,专职医疗人员队伍规划面临着挑战。本文介绍了在足病专业中开发基于人口的需求指标和指数的方法和概念验证,适用于专职医疗人员队伍规划和比较基准。在确定是否将特定人口年龄组和性别作为指标时,使用了相关项目编号的医疗保险患者年龄和性别分布情况。其他指标包括糖尿病、社会经济状况以及土著居民和托雷斯海峡岛民状况。需求指数是在 SA3 级别汇总这些指标后计算得出的。使用人口加权相关系数 (pwCorr) 将得出的需求指数与足病供应量(人均临床医师人数)进行比较。在 SA3 级别,需求指数与供应量之间存在微小但显著的负相关(pwCorr =-0.12,P=0.03),在州/领地级别,需求指数与供应量之间存在正相关,但不显著(pwCorr=0.42,P=0.30)。将单一的需求指标与供应指标相结合,可为有效的劳动力规划和宣传提供一个简明的框架。
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A population-based model of indicators of allied health workforce needs: proof-of-concept in podiatry.

ObjectiveAllied health workforce planning faces challenges because of insufficient metrics that accurately reflect population need for services. This paper presents a method and proof-of-concept in the podiatry profession for developing population-based need indicators and indices suitable for allied health workforce planning and comparative benchmarking.MethodsPopulation-based indicators of podiatry need were selected and combined into an index of need by Statistical Area Level 3 (SA3) in Australia. Medicare patient age and sex distributions for relevant item numbers were used to determine the inclusion of specific population age groups and sex as indicators. Other indicators included diabetes, socioeconomic status, and Aboriginal and Torres Strait Islander status. The need index was calculated based by aggregating these indicators at the SA3 level. The resulting need index was compared with podiatry supply (per capita clinician counts) using a population-weighted correlation coefficient (pwCorr).ResultsAnalysis of Medicare usage data led to the inclusion of indicators: population aged 65 and over, and female gender. The need index had a small but significant negative correlation with supply at the SA3-level (pwCorr =-0.12, P=0.03) and positively, but not significantly, correlated at the state/territory-level (pwCorr=0.42, P=0.30).ConclusionsDeveloping profession-specific population-based need indices provides a valuable tool for allied health workforce planners to benchmark need and supply within professions. Combining single need indicators with supply metrics offers a concise framework for effective workforce planning and advocacy.

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