Supply and demand of board-certified emergency physicians by U.S. state, 2005.
Supply and demand of board-certified emergency physicians by U.S. state, 2005.
复制标题
2005 年美国各州委员会认证急诊医生的供求情况。
DOI：
10.1111/j.1553-2712.2009.00509.x
复制
发表时间：
2009
期刊：
影响因子：
--
通讯作者：
C. Camargo
中科院分区：
文献类型：
--
作者：
A. Sullivan;A. Ginde;J. Espinola;C. Camargo
目标
其目的是估计美国各州急诊医学（EM）委员会认证的急诊医生（EP）劳动力的供需情况。
方法
2005年美国国家急诊部门清单提供了美国急诊部门（ED）的年度访问量。我们通过将实际访视次数除以估计的平均EP访视量（3，548次/年），然后按州汇总全职等效（FTE）EP需求，估计了每个艾德的全职等效（FTE）EP需求。我们的模型假设每个ED中至少有一个EP应该24/7。每个州EM委员会认证的EP数量由美国医学专科委员会（美国急诊医学委员会，美国儿科委员会）和美国骨科急诊医学委员会提供。我们使用美国人口普查局的平民人口估计来计算各州的EP人口密度。
结果
EM董事会认证的EP的供应量是全国所有ED所需FTE的58%，范围从南达科他州的10%到夏威夷的104%（即，（e）环境许可证的数目多于估计的需要）。德克萨斯州和佛罗里达州拥有最大的EM板认证EP绝对短缺（分别为2，069和1，146）。每10万美国平民中拥有EM委员会认证的EP的数量从南达科他州的3.6到华盛顿的13.8不等。拥有EM董事会认证的EP人口密度较高的州高中毕业生比例较高，农村人口和白人比例较低。
结论
EM板认证的EP的供应和需求因州而异。只有一个州有足够的EM委员会认证的EP供应，以充分配备其ED。
OBJECTIVES
The objective was to estimate the emergency medicine (EM) board-certified emergency physician (EP) workforce supply and demand by U.S. state.
METHODS
The 2005 National Emergency Department Inventories-USA provided annual visit volumes for U.S. emergency departments (EDs). We estimated full-time equivalent (FTE) EP demand at each ED by dividing the actual number of visits by the estimated average EP visit volume (3,548 visits/year) and then summing FTEs by state. Our model assumed that at least one EP should be present 24/7 in each ED. The number of EM board-certified EPs per state was provided by the American Board of Medical Specialties (American Board of Emergency Medicine, American Board of Pediatrics) and the American Osteopathic Board of Emergency Medicine. We used U.S. Census Bureau civilian population estimates to calculate EP population density by state.
RESULTS
The supply of EM board-certified EPs was 58% of required FTEs to staff all EDs nationally and ranged from 10% in South Dakota to 104% in Hawai'i (i.e., there were more EPs than the estimated need). Texas and Florida had the largest absolute shortages of EM board-certified EPs (2,069 and 1,146, respectively). The number of EM board-certified EPs per 100,000 U.S. civilian population ranged from 3.6 in South Dakota to 13.8 in Washington, DC. States with a higher population density of EM board-certified EPs had higher percent high school graduates and a lower percent rural population and whites.
CONCLUSIONS
The supply and demand of EM board-certified EPs varies by state. Only one state had an adequate supply of EM board-certified EPs to fully staff its EDs.
基于农村实践的研究网络中初级保健医生的急诊科覆盖率：激励、信心和培训。
DOI：
10.1111/j.1748-0361.2009.00216.x
发表时间：
2009
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
--
作者：
Lew,Edward;Fagnan,LyleJ;Mattek,Nora;Mahler,Jo;Lowe,RobertA
通讯作者：
Lowe,RobertA