REPLACING RESIDENTS WITH MIDLEVEL PRACTITIONERS - A NEW-YORK-CITY AREA ANALYSIS
REPLACING RESIDENTS WITH MIDLEVEL PRACTITIONERS - A NEW-YORK-CITY AREA ANALYSIS
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DOI：
10.1377/hlthaff.14.2.192
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发表时间：
1995-06-01
期刊：
影响因子：
9.7
通讯作者：
JOHNSON, T
中科院分区：
文献类型：
--
作者：
GREEN, BA;JOHNSON, T
减少美国教学医院的住院医生职位给纽约城区的医院带来了特殊的问题，因为这些医院严重依赖住院医生提供病人护理服务。本研究分析了根据1994年国会审议的提案，以限制第一年培训职位的数量，并改变初级保健医生和专家的配置，用中级医生取代居民的成本。该研究发现，根据所使用的扩张战略，这些提案可能要求纽约城区医院雇用数千名中级医生和其他工作人员，每年至少花费2.42亿美元，以支付病人护理服务。
Reducing the number of residency positions in U.S. teaching hospitals poses special problems for New York City-area hospitals, which rely heavily on residents to deliver patient care services. This study analyzes the costs of replacing residents with midlevel practitioners under proposals considered in 1994 by Congress to limit the number of first-year training positions and alter the configuration of primary care-physicians and specialists produced. The study found that, depending on the replacement-strategy used, the proposals could require New York City-area hospitals to hire thousands of midlevel practitioners and other staff, costing a minimum of $242 million annually, to cover patient care services.