Analysis of factors affecting US emergency physician workforce projections

Analysis of factors affecting US emergency physician workforce projections
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DOI:
10.1111/j.1553-2712.1997.tb03769.x
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发表时间:
1997-07-01
影响因子:
4.4
通讯作者:
Yeh, CS
Yeh, CS
中科院分区:
医学3区
文献类型:
--
作者:
Holliman, CJ;Wuerz, RC;Yeh, CS

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目的:使用现有数据源来完善对美国急诊医学(EM)劳动力的先前估计,并估计美国医疗保健系统拟议变化对EM劳动力的影响。方法:相关数据摘自美国急诊医师学会(ACEP)1995年会员活动报告,美国医学协会(AMA)出版物“1995/96美国医师特征和分布”,美国医院协会(AHA)1994年医院目录,各州医疗许可委员会和州医学会的书面调查,以及美国急诊医学委员会(ABEM)1995年年度活动报告。这些数据被用来预测劳动力供应和需求估计适用于劳动力models.Results:没有可用的信息来源有完整的数据,目前在美国执业的急诊医生(EP)的数量和分布。外推有限的可靠的全州EP数字,使全国范围内的预测显示,缺乏EP需要充分工作人员的国家现有的ED。至少有22个州的平均比率为
Objectives: To use existing data sources to refine prior estimates of the U.S. emergency medicine (EM) workforce and to estimate effects of proposed changes in the U.S. health care system on the EM workforce.Methods: Relevant data were extracted from the American College of Emergency Physicians (ACEP) 1995 Membership Activity Report, the American Medical Association (AMA) publication ''1995/96 Physician Characteristics and Distribution in the U.S.,'' the American Hospital Association (AHA) 1994 hospital directory, a written survey of each state's medical licensing board and state medical society, and the American Board of Emergency Medicine (ABEM) annual activity report for 1995. These data were used to project workforce supply and demand estimates applicable to workforce models.Results: None of the available information sources had complete data on the number and distribution of emergency physicians (EPs) currently practicing in the United States. Extrapolating the limited reliable statewide EP numbers to make nationwide projections reveals a shortage of EPs needed to fully staff the nation's existing EDs. At least 22 states had an average ratio of