McHugh Matthew D, Aiken Linda H, Cooper Richard A, Miller Phillip
University of Pennsylvania, Philadelphia, USA.
Policy Polit Nurs Pract. 2008 Feb;9(1):6-14. doi: 10.1177/1527154408317852. Epub 2008 Apr 24.
The candidates for the 2008 presidential election have offered a range of proposals that could bring significant changes in health care. Although few are aimed directly at the nurse and physician workforce, nearly all of the proposals have the potential to affect the health care workforce. Furthermore, the success of the proposed initiatives is dependent on a robust nurse and physician workforce. The purpose of this article is to outline the current needs and challenges for the nurse and physician workforce and highlight how candidates' proposals intersect with the adequacy of the health care workforce. Three general themes are highlighted for their implications on the physician and nurse workforce supply, including (a) expansion of health care coverage, (b) workforce investment, and (c) cost control and quality improvement.
2008年总统选举的候选人提出了一系列可能给医疗保健带来重大变革的提议。尽管很少有提议直接针对护士和医生劳动力队伍,但几乎所有提议都有可能影响医疗保健劳动力队伍。此外,拟议举措的成功取决于强大的护士和医生劳动力队伍。本文的目的是概述护士和医生劳动力队伍当前的需求与挑战,并强调候选人的提议如何与医疗保健劳动力队伍的充足性相关联。突出了对医生和护士劳动力队伍供应有影响的三个总体主题,包括(a)扩大医疗保健覆盖范围,(b)劳动力投资,以及(c)成本控制与质量改进。