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基层医疗劳动力:修复美国破碎医疗体系的关键要素。

The primary care workforce: a critical element in mending the fractured US health care system.

作者信息

Cardarelli Roberto

机构信息

University of North Texas Health Science Center at Fort Worth, Primary Care Research Institute, 855 Montgomery Street, Fort Worth, TX, USA.

出版信息

Osteopath Med Prim Care. 2009 Oct 16;3:11. doi: 10.1186/1750-4732-3-11.

Abstract

A focus on the primary care workforce is critical when discussing plans to address the fractured United States health care system. However, we must first address the primary care physician shortage crisis when planning for health care reform which focuses on increasing access to the US population. Initial strategies may include improving reimbursement rates for primary care services, incentivizing medical schools in making primary care training a priority, and developing robust loan-forgiveness programs for those who enter and work in primary care specialties. Planning with congressional representatives about these elements will better ensure sustainable health reform efforts are implemented.

摘要

在讨论解决美国破碎的医疗保健系统的计划时,关注基层医疗劳动力至关重要。然而,在规划以增加美国民众医疗服务可及性为重点的医疗改革时,我们必须首先解决基层医疗医生短缺危机。初步策略可能包括提高基层医疗服务的报销率,激励医学院校将基层医疗培训作为优先事项,并为进入基层医疗专业并从事相关工作的人员制定有力的贷款免除计划。与国会代表就这些要素进行规划将更好地确保可持续的医疗改革努力得以实施。

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本文引用的文献

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Medical student debt--is there a limit?医学生债务——有上限吗?
N Engl J Med. 2008 Dec 18;359(25):2629-32. doi: 10.1056/NEJMp0808520.
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Primary care--will it survive?初级保健——它能存续下去吗?
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The concentration of health care expenditures, revisited.医疗保健支出的集中情况,再探讨。
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