在政府环境下从事风湿病学实践的挑战：县级医院和退伍军人事务医院的观点。

Challenges of Practicing Rheumatology in a Government Setting: A County Hospital and Veterans Affairs Hospital Perspective.

机构信息

Division of Rheumatology, Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, 1000 W. Carson Street, Box 470, Torrance, CA 90509, USA.

Musculoskeletal Outcomes Research, University of Alabama School of Medicine, 510, 20th Street South, Faculty Office Tower, Room 805 B, Birmingham, AL 35294-000, USA.

出版信息

Rheum Dis Clin North Am. 2019 Feb;45(1):39-51. doi: 10.1016/j.rdc.2018.09.004.

DOI:10.1016/j.rdc.2018.09.004

PMID:30447745

Abstract

In this article, we review the challenges and opportunities afforded by working in a government setting by providing the perspective of the Veterans Affairs experience as well as the county/public hospital experience from Los Angeles County Department of Health Services. This article highlights processes and services that are unique to practicing rheumatology in a government setting, specifically, resource allocation with clinic space and staffing; protocols for access to conventional and biologic disease modifying antirheumatic drugs; and research opportunities for rheumatologists working in a government setting. Our aim is to expand the reader's understanding of this practice setting.

摘要

在本文中，我们通过提供退伍军人事务经验以及洛杉矶县卫生服务部的县/公立医院经验的视角，回顾了在政府环境中工作所带来的挑战和机遇。本文重点介绍了在政府环境中实践风湿病学所具有的独特流程和服务，具体包括临床空间和人员配置的资源分配；获得常规和生物疾病修正抗风湿药物的途径的协议；以及在政府环境中工作的风湿病学家的研究机会。我们的目的是扩大读者对这种实践环境的理解。