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佛罗里达州眼科劳动力及急诊科眼科护理服务分析

Analysis of ophthalmology workforce and delivery of emergency department eye care in Florida.

作者信息

Witmer Matthew T, Margo Curtis E

机构信息

Departments of Ophthalmology, College of Medicine, University of South Florida, Tampa, FL 33612, USA.

出版信息

Arch Ophthalmol. 2009 Nov;127(11):1522-7. doi: 10.1001/archophthalmol.2009.269.

DOI:10.1001/archophthalmol.2009.269
PMID:19901221
Abstract

OBJECTIVE

To measure annual population-based volume of emergency department (ED) eye care and concurrent ophthalmology on-call coverage.

METHODS

Analysis and correlation of the 2006 Florida Agency of Health Care Administration ED and inpatient data sets with the 2007 Florida Physician Workforce Survey.

RESULTS

The Florida Physician Workforce Survey showed 46.3% of ophthalmologists surveyed took ED call in Florida in 2006. Based on estimates derived from the survey, 462 to 532 ophthalmologists participated in ED coverage that year. The level of workload varied considerably depending on International Classification of Diseases code diagnosis. Annual workload for open wounds to the eye, on average, ranged from 2.7 to 3.1 per ophthalmologist taking ED call.

CONCLUSIONS

Strategic planning for the delivery of ED eye care needs to consider both the number and types of cases presenting to the ED and the availability of ophthalmologists to provide care that other specialists cannot. This preliminary study explores the use of a workload statistic that may help to gauge manpower needs in the future.

摘要

目的

衡量基于人群的急诊科(ED)眼科护理年度工作量以及同时期眼科随叫随到的覆盖情况。

方法

对2006年佛罗里达州医疗保健管理局的急诊科和住院患者数据集与2007年佛罗里达州医师劳动力调查进行分析和关联。

结果

佛罗里达州医师劳动力调查显示,2006年接受调查的眼科医生中有46.3%在佛罗里达州参与了急诊科值班。根据调查得出的估计数,当年有462至532名眼科医生参与了急诊科的覆盖工作。工作量水平因国际疾病分类代码诊断而异。平均而言,参与急诊科值班的眼科医生处理眼部开放性伤口的年度工作量为每人2.7至3.1例。

结论

急诊科眼科护理服务的战略规划需要考虑到急诊科就诊病例的数量和类型,以及眼科医生提供其他专科医生无法提供的护理服务的可及性。这项初步研究探索了使用工作量统计数据,这可能有助于未来评估人力需求。

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