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美国皮肤科医疗队伍中医生和非医生医疗服务提供者的未来增长情况。

Future growth of physicians and non-physician providers within the U.S. Dermatology workforce.

作者信息

Sargen Michael R, Shi Lucy, Hooker Roderick S, Chen Suephy C

机构信息

Emory Department of Dermatology, Atlanta, GA.

出版信息

Dermatol Online J. 2017 Sep 15;23(9):13030/qt840223q6.

Abstract

Trends in the training, supply, availability, career decisions, and retirement of US dermatology physicians are not well delineated. The current study evaluates whether growth in the dermatology workforce will keep pace with population expansion in the United States. A dermatologist supply model was projected to 2030 drawing on data from the American Academy of Dermatology, American Medical Association, Bureau of Labor Statistics, American Association of Medical Colleges, and other associations. The clinically active dermatologist workforce in 2015 was 36 per capita (1,000,000); entry following postgraduate training was age 30 with career separation at age 65 on average. Added to the provider model are physician assistants and nurse practitioners in dermatology practices. A linear regression micro simulation model based on age cohorts produced a per capita supply of dermatology providers of 61 (±3) per 1,000,000 by 2030, up from 47 in 2016. The dermatology workforce is growing faster than population expansion. Workforce estimates could be affected by changing trends in retirement and training of dermatology providers. Investments in training of nurse practitioners and physician assistants, in addition to training more doctors, may be an effective strategy for increasing access to care in populations with low dermatologist density.

摘要

美国皮肤科医生的培训、供应、可获得性、职业决策及退休趋势尚未得到清晰的描述。当前的研究评估了皮肤科劳动力的增长是否将与美国的人口增长保持同步。利用美国皮肤病学会、美国医学协会、劳工统计局、美国医学院协会及其他协会的数据,预测了一个皮肤科医生供应模型至2030年的情况。2015年临床活跃的皮肤科医生劳动力人均为36人(每100万人);研究生培训后的入职年龄为30岁,平均职业间隔年龄为65岁。皮肤科实践中的医师助理和执业护士也被纳入供应模型。基于年龄队列的线性回归微观模拟模型显示,到2030年,皮肤科医疗服务提供者的人均供应量将从2016年的47人增加至每100万人61人(±3)。皮肤科劳动力的增长速度快于人口增长。劳动力估计可能会受到皮肤科医疗服务提供者退休和培训趋势变化的影响。除了培训更多医生外,对执业护士和医师助理的培训投资可能是增加皮肤科医生密度较低人群获得医疗服务机会的有效策略。

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