Pediatrics. 2013 Aug;132(2):390-7. doi: 10.1542/peds.2013-1517. Epub 2013 Jul 29.
This policy statement reviews important trends and other factors that affect the pediatrician workforce and the provision of pediatric health care, including changes in the pediatric patient population, pediatrician workforce, and nature of pediatric practice. The effect of these changes on pediatricians and the demand for pediatric care are discussed. The American Academy of Pediatrics (AAP) concludes that there is currently a shortage of pediatric medical subspecialists in many fields, as well as a shortage of pediatric surgical specialists. In addition, the AAP believes that the current distribution of primary care pediatricians is inadequate to meet the needs of children living in rural and other underserved areas, and more primary care pediatricians will be needed in the future because of the increasing number of children who have significant chronic health problems, changes in physician work hours, and implementation of current health reform efforts that seek to improve access to comprehensive patient- and family-centered care for all children in a medical home. The AAP is committed to being an active participant in physician workforce policy development with both professional organizations and governmental bodies to ensure a pediatric perspective on health care workforce issues. The overall purpose of this statement is to summarize policy recommendations and serve as a resource for the AAP and other stakeholders as they address pediatrician workforce issues that ultimately influence the quality of pediatric health care provided to children in the United States.
本政策声明回顾了影响儿科医生队伍和儿科医疗保健提供的重要趋势和其他因素,包括儿科患者人群、儿科医生队伍以及儿科实践性质的变化。讨论了这些变化对儿科医生和儿科保健需求的影响。美国儿科学会(AAP)得出结论,目前许多领域都缺乏儿科医学亚专科医生,以及儿科外科专家的短缺。此外,AAP 认为,目前初级保健儿科医生的分布不足以满足居住在农村和其他服务不足地区的儿童的需求,而且由于患有严重慢性健康问题的儿童数量不断增加、医生工作时间的变化以及实施当前旨在改善所有儿童在医疗保健之家获得全面以患者和家庭为中心的护理的卫生改革努力,未来将需要更多的初级保健儿科医生。AAP 致力于与专业组织和政府机构一起积极参与医师劳动力政策制定,以确保在医疗保健劳动力问题上具有儿科视角。本声明的总体目的是总结政策建议,并为 AAP 和其他利益相关者提供资源,以解决最终影响向美国儿童提供儿科保健质量的儿科医生劳动力问题。