A Novel Gap Staffing Metric for Primary Care in the Veterans Health Administration and Implications for Rural and Urban Clinics.
A Novel Gap Staffing Metric for Primary Care in the Veterans Health Administration and Implications for Rural and Urban Clinics.
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DOI：
10.1097/jac.0000000000000429
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发表时间：
2023-01-01
期刊：
影响因子：
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通讯作者：
Kaboli, Peter J
中科院分区：
文献类型：
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作者：
O'Shea, Amy M J;Haraldsson, Bjarni;Kaboli, Peter J
初级保健提供者（PCP），包括医生和高级实践提供者，是医疗保健的第一线。患者访问必须平衡PCP的可用性和患者需求。这项工作开发了一个新的PCP人员配置指标，使用面板大小和全职等效数据，以确定是否有足够的人员配置诊所，并描述了诊所农村的变化。数据来自退伍军人健康管理局，2017-2021年。结果描述了人员配备的差距度量，提供了汇总图形，并比较了农村和城市诊所之间的人员配备差距。这种新的缺口人员配置指标可以为医疗保健系统中的战略诊所人员配置提供信息。
Primary care providers (PCPs), including physicians and advanced practice providers, are the front line of medical care. Patient access must balance PCP availability and patient needs. This work develops a new PCP staffing metric using panel size and full-time equivalent data to determine whether a clinic is adequately staffed and describes variation by clinic rurality. Data were from the Veterans Health Administration, 2017-2021. Results describe the gap staffing metric, provide summary graphics, and compare the gap staffing between rural and urban clinics. This novel gap staffing metric can inform strategic clinic staffing in health care systems.