Auerbach David I, Buerhaus Peter I, Staiger Douglas O
David I. Auerbach ( davea@alum. mit. edu ) is an external adjunct faculty member at the Center for Interdisciplinary Health Workforce Studies, College of Nursing, Montana State University, in Bozeman.
Peter I. Buerhaus is a professor of nursing and director of the Center for Interdisciplinary Health Workforce Studies, both in the College of Nursing, Montana State University.
Health Aff (Millwood). 2020 Feb;39(2):273-279. doi: 10.1377/hlthaff.2019.00686.
Concerns about physician shortages have led policy makers in the US public and private sectors to advocate for the greater use of nurse practitioners (NPs). We examined recent changes in demographic, employment, and earnings characteristics of NPs and the implications of those changes. In the period 2010-17 the number of NPs in the US more than doubled from approximately 91,000 to 190,000. This growth occurred in every US region and was driven by the rapid expansion of education programs that attracted nurses in the Millennial generation. Employment was concentrated in hospitals, physician offices, and outpatient care centers, and inflation-adjusted earnings grew by 5.5 percent over this period. The pronounced growth in the number of NPs has reduced the size of the registered nurse (RN) workforce by up to 80,000 nationwide. In the future, hospitals must innovate and test creative ideas to replace RNs who have left their positions to become NPs, and educators must be alert for signs of falling earnings that may signal the excess production of NPs.
对医生短缺的担忧促使美国公共和私营部门的政策制定者主张更多地使用执业护士（NP）。我们研究了执业护士在人口统计学、就业和收入特征方面的近期变化以及这些变化的影响。在2010 - 2017年期间，美国执业护士的数量增加了一倍多，从约9.1万增至19万。这种增长在美国各个地区都有发生，其驱动因素是吸引千禧一代护士的教育项目的迅速扩张。就业集中在医院、医生办公室和门诊护理中心，在此期间经通胀调整后的收入增长了5.5%。执业护士数量的显著增长使全国注册护士（RN）劳动力规模减少了多达8万名。未来，医院必须进行创新并试验创造性想法，以取代那些离职去成为执业护士的注册护士，教育工作者必须留意收入下降的迹象，这可能预示着执业护士生产过剩。
