Qualifications, Demographics, Satisfaction, and Future Capacity of the HIV Care Provider Workforce in the United States, 2013-2014.
Qualifications, Demographics, Satisfaction, and Future Capacity of the HIV Care Provider Workforce in the United States, 2013-2014.
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DOI：
10.1093/cid/ciw442
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发表时间：
2016-10-01
期刊：
影响因子：
--
通讯作者：
Skarbinski J
中科院分区：
文献类型：
--
作者：
Weiser J;Beer L;West BT;Duke CC;Gremel GW;Skarbinski J
在美国，人类免疫缺陷病毒（HIV）感染人口每年增加约30 000人（新感染减去死亡）。随着诊断和护理工作的改善，可能需要更多合格的艾滋病毒护理提供者。我们在2013-2014年调查了2023名美国艾滋病毒护理提供者的概率样本，包括Ryan白色艾滋病毒/艾滋病项目（RWHAP）资助的机构和私人诊所的艾滋病毒护理提供者。我们通过比较5年内进入和计划离开实践的提供者数量以及他们护理的患者数量来估计未来的患者护理能力。在接受调查的供应商中，1234人做出了回应（调整后的回应率为64%）：63%为白色，11%为黑人，11%为西班牙裔，16%为其他种族/民族; 37%对工资/报销感到满意/非常满意，33%对行政时间感到满意/非常满意。与私人诊所的提供者相比，RWHAP资助的机构中更多的提供者是艾滋病毒专家（71%比43%; P < .0001），并计划在5年内离开艾滋病毒诊所（11%比4%; P = .0004）。在过去5年中，估计有190多名全职同等服务提供者（定义为每周40个艾滋病毒临床护理小时）投入实践，而不是预计在未来5年中离开。如果这些速度继续下去，到2019年，病人护理能力将增加65000人，而增加的需求至少为100000人。预计到2019年劳动力的增长将无法容纳需要护理的艾滋病毒感染者人数的增加。农村卫生保健方案供资的设施可能面临高素质提供者的流失。对工资/报销和行政负担的不满是巨大的，黑人和西班牙裔提供者相对于艾滋病毒患者的代表性不足。
The human immunodeficiency virus (HIV)–infected population in the United States is increasing by about 30 000 annually (new infections minus deaths). With improvements in diagnosis and engagement in care, additional qualified HIV care providers may be needed. We surveyed a probability sample of 2023 US HIV care providers in 2013–2014, including those at Ryan White HIV/AIDS Program (RWHAP)–funded facilities and in private practices. We estimated future patient care capacity by comparing counts of providers entering and planning to leave practice within 5 years, and the number of patients under their care. Of surveyed providers, 1234 responded (adjusted response rate, 64%): 63% were white, 11% black, 11% Hispanic, and 16% other race/ethnicity; 37% were satisfied/very satisfied with salary/reimbursement, and 33% were satisfied/very satisfied with administrative time. Compared with providers in private practice, more providers at RWHAP-funded facilities were HIV specialists (71% vs 43%; P < .0001) and planned to leave HIV practice within 5 years (11% vs 4%; P = .0004). An estimated 190 more full-time equivalent providers (defined as 40 HIV clinical care hours per week) entered practice in the past 5 years than are expected to leave in the next 5 years. If these rates continue, by 2019 patient care capacity will increase by 65 000, compared with an increased requirement of at least 100 000. Projected workforce growth by 2019 will not accommodate the increased number of HIV-infected persons requiring care. RWHAP-funded facilities may face attrition of highly qualified providers. Dissatisfaction with salary/reimbursement and administrative burden is substantial, and black and Hispanic providers are underrepresented relative to HIV patients.
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影响因子：
3.7
作者：
McNaghten AD;Wolfe MI;Onorato I;Nakashima AK;Valdiserri RO;Mokotoff E;Romaguera RA;Kroliczak A;Janssen RS;Sullivan PS
通讯作者：
Sullivan PS
影响因子：
5.7
作者：
King, WD;Wong, MD;Cunningham, WE
通讯作者：
Cunningham, WE
DOI：
10.1097/00126334-200112010-00013
发表时间：
2001-12-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
--
作者：
Cohn, SE;Berk, ML;Bozzette, SA
通讯作者：
Bozzette, SA
DOI：
10.2174/1874613601206010067
发表时间：
2012
期刊：
The open AIDS journal
影响因子：
--
作者：
Frankel MR;McNaghten A;Shapiro MF;Sullivan PS;Berry SH;Johnson CH;Flagg EW;Morton S;Bozzette SA
通讯作者：
Bozzette SA
影响因子：
3
作者：
Ohl M;Tate J;Duggal M;Skanderson M;Scotch M;Kaboli P;Vaughan-Sarrazin M;Justice A
通讯作者：
Justice A