Hilsenrath P E, Levey S, Weil T P, Ludke R
College of Medicine, University of Iowa, Iowa City 52242.
J Health Adm Educ. 1993 Summer;11(3):407-19.
There is much concern about administrative costs in health care. But little has been written on the market for health managers. This article discusses Bureau of Labor Statistics data estimating a total of 362,500 health managers in the United States in 1990 and projections showing an increase to 517,800 in 2005. The article further discusses the composition of health care employment in terms of settings and functions, and evaluates the implications of a rapidly changing market for health administrators. The authors conclude that sufficient demand exists for AUPHA programs to produce more graduates, but that curriculum should be revised and should place greater emphasis on efficient production of health services. This will provide qualitative differentiation and give health management training a competitive advantage over business and other educational backgrounds.
医疗保健领域的行政成本备受关注。但关于卫生管理人员市场的著述却很少。本文讨论了美国劳工统计局的数据,该数据估计1990年美国共有362,500名卫生管理人员,预测显示到2005年这一数字将增至517,800名。本文还从工作环境和职能方面讨论了医疗保健就业的构成,并评估了卫生管理人员市场快速变化的影响。作者得出结论,对公共卫生管理学院协会(AUPHA)项目培养更多毕业生存在足够的需求,但课程应进行修订,应更加强调高效提供卫生服务。这将实现质量差异化,并使卫生管理培训相对于商业和其他教育背景具有竞争优势。