[墨西哥社会保障局初级保健诊所糖尿病患者医疗保健的人力资源需求]
[Human resources requirements for diabetic patients healthcare in primary care clinics of the Mexican Institute of Social Security].
作者信息
Doubova Svetlana V, Ramírez-Sánchez Claudine, Figueroa-Lara Alejandro, Pérez-Cuevas Ricardo
机构信息
Unidad de Investigación en Epidemiológica y en Servicios de Salud, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, México.
Unidad Médica de Alta Especialidad, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, México.
出版信息
Salud Publica Mex. 2013 Dec;55(6):607-17.
OBJECTIVE
To estimate the requirements of human resources (HR) of two models of care for diabetes patients: conventional and specific, also called DiabetIMSS, which are provided in primary care clinics of the Mexican Institute of Social Security (IMSS).
MATERIALS AND METHODS
An evaluative research was conducted. An expert group identified the HR activities and time required to provide healthcare consistent with the best clinical practices for diabetic patients. HR were estimated by using the evidence-based adjusted service target approach for health workforce planning; then, comparisons between existing and estimated HRs were made.
RESULTS
To provide healthcare in accordance with the patients' metabolic control, the conventional model required increasing the number of family doctors (1.2 times) nutritionists (4.2 times) and social workers (4.1 times). The DiabetIMSS model requires greater increase than the conventional model.
CONCLUSIONS
Increasing HR is required to provide evidence-based healthcare to diabetes patients.
目的
评估墨西哥社会保障局（IMSS）初级保健诊所中为糖尿病患者提供的两种护理模式——传统模式和特殊模式（即DiabetIMSS）的人力资源需求。
材料与方法
开展了一项评估性研究。一个专家组确定了为糖尿病患者提供符合最佳临床实践的医疗保健所需的人力资源活动和时间。通过使用基于证据的调整服务目标方法进行卫生人力规划来估计人力资源；然后，对现有和估计的人力资源进行比较。
结果
为根据患者的代谢控制提供医疗保健，传统模式需要增加家庭医生数量（1.2倍）、营养师数量（4.2倍）和社会工作者数量（4.1倍）。DiabetIMSS模式所需的增加幅度大于传统模式。
结论
需要增加人力资源，以便为糖尿病患者提供基于证据的医疗保健。
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