Modeling the mental health workforce in Washington State: Using state licensing data to examine provider supply in rural and urban areas
Modeling the mental health workforce in Washington State: Using state licensing data to examine provider supply in rural and urban areas
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DOI：
10.1111/j.1748-0361.2006.00003.x
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发表时间：
2006-12-01
影响因子：
4.9
通讯作者：
Hart, LG
中科院分区：
文献类型：
--
作者：
Baldwin, LM;Patanian, MM;Hart, LG
上下文确保在农村和城市地区有足够的精神卫生服务提供者，需要确定提供者类型，实践地点和实践生产力的方法。目的：利用现有的许可和调查数据确定精神卫生短缺领域。研究方法：1998-1999年华盛顿州卫生部关于有资格的卫生专业人员的文件与许可证更新调查的结果、1990年美国人口普查数据和1990-1992年全国科摩罗调查的结果相关联。计算华盛顿州2类地理单元--61个农村和城市核心卫生服务区和13个较大的精神卫生区--的精神卫生服务供给和需求。每10万人口中9种精神卫生专业人员的数量及其全职当量（FTE）都衡量了卫生服务区和精神卫生区的供应。结果：精神卫生服务提供者的显着短缺存在整个国家，特别是在农村地区。与农村地区相比，城市地区每10万人中精神科医生的FTE是3倍，每10万人中非精神科医生精神卫生提供者的FTE是1.5倍以上。超过80%的农村卫生服务区的精神科医生FTE和非精神科医生精神卫生提供者FTE至少比州比率（每10万人10.4 FTE和每10万人306.5 FTE）少10%。在13个精神卫生地区中，有10个地区的精神科医生FTE比每10万人的州比率低10%以上。结论：各州在执照更新时收集最低限度的数据库，可以确定特定地区的精神卫生保健短缺情况，用于项目规划。
Context. Ensuring an adequate mental health provider supply in rural and urban areas requires accessible methods of identifying provider types, practice locations, and practice productivity. Purpose: To identify mental health shortage areas using existing licensing and survey data. Methods: The 1998-1999 Washington State Department of Health files on credentialed health professionals linked With results of a licensure renewal survey, 1990 US Census data, and the results of the 1990-1992 National Comorbidity Survey were used. to calculate supply and requirements for mental health services in 2 types of geographic units in Washington state-61 rural and urban core health service areas and 13 larger mental health regions. Both the number of 9 types of mental health professionals and their full-titne equivalents (FTEs) per 100,000 population measured supply in the health service areas and mental health regions. Findings: Notable shortages of mental health providers existed throughout the state, especially in rural areas. Urban areas had 3 times the psychiatrist FTEs per 100,000 and more than 1.5 times the nonpsychiatrist mental health provider FTEs per 100,000 as rural areas. More than 80% of rural health service areas had at least 10% fewer psychiatrist FTEs and nonpsychiatrist mental health provider FTEs than the state ratio (10.4 FTEs per 100,000 and 306.5 FTEs per 100,000, respectively). Ten of the 13 mental health regions were more than 10% below the state ratio of psychiatrist FTEs per 100,000. Conclusions: States gathering a minimum database at licensure renewal can identify area-specific mental health care shortages for use in program planning.