A.W. Dow is assistant vice president, Interprofessional Education and Collaborative Care, and professor, internal medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia; ORCID: http://orcid.org/0000-0002-9004-7528.
J.T. DiPiro is dean, Virginia Commonwealth University School of Pharmacy, Richmond, Virginia; ORCID: http://orcid.org/0000-0002-5442-0129.
Acad Med. 2020 Dec;95(12):1823-1826. doi: 10.1097/ACM.0000000000003656.
The COVID-19 pandemic has highlighted the limitations of the current health care workforce. As health care workers across the globe have been overwhelmed by the crisis, oversight entities and training programs have sought to loosen regulations to support ongoing care. Notably, however, workforce challenges preceded the current crisis. Now may be the time to address these underlying workforce challenges and emerge from the COVID-19 pandemic with a stronger health care workforce.Building upon historical exemplars in the context of the current crisis, the authors of this Perspective provide a roadmap to rapidly and safely increase the workforce for COVID-19 and beyond. The authors recommend the following: (1) a comprehensive approach to guide health care workforce development, (2) streamlining transitions to the next level of practice, (3) reciprocity among state licensing boards or national licensure, (4) payment reform to support a strengthened health care workforce, and (5) efforts by employers to ensure the ongoing safety and competence of the bolstered workforce. These steps require urgent collaboration among stakeholders commensurate with the acuity of the pandemic. Implemented together, these actions could address not only the novel challenges presented by COVID-19 but also the underlying inadequacies of the health care workforce that must be remedied to create a healthier society.
COVID-19 大流行凸显了当前卫生保健劳动力的局限性。由于全球各地的医护人员都不堪重负,监督实体和培训计划已经寻求放宽监管以支持持续的护理。然而,值得注意的是,劳动力挑战早于当前危机。现在也许是解决这些潜在劳动力挑战的时候了,并在 COVID-19 大流行后拥有一支更强大的医疗保健劳动力队伍。本文作者在当前危机的背景下借鉴历史范例,为快速、安全地增加 COVID-19 及以后的劳动力提供了路线图。作者建议:(1)采用综合方法指导卫生保健劳动力发展,(2)简化向更高水平实践的过渡,(3)州执照委员会或国家执照之间的互惠,(4)支付改革以支持加强卫生保健劳动力,以及(5)雇主努力确保加强的劳动力的持续安全和能力。这些步骤需要利益相关者之间紧迫的合作,与大流行的严重性相称。如果共同实施,这些措施不仅可以解决 COVID-19 带来的新挑战,还可以解决医疗保健劳动力的根本不足,必须加以纠正,以创建一个更健康的社会。