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医师短缺:批判性回顾。

Shortage of Physicians: A Critical Review.

机构信息

Department of Orthopedics, Traumatology, and Sports Medicine, Central Clinical Hospital of Ministry of Internal Affairs and Administration, Warsaw, Poland.

Smart Practical Logic Co., Cracow, Poland.

出版信息

Adv Exp Med Biol. 2021;1324:57-62. doi: 10.1007/5584_2020_601.

DOI:10.1007/5584_2020_601
PMID:33346901
Abstract

A recent report of the Organization for Economic Co-operation and Development (OECD) points out an insufficient number of physicians in Europe. The issue seems especially relevant in the face of the COVID-19 pandemic. In this review, based on papers found in the PubMed database, we drew on the available information on the aspects of medical education and terms and rate of employment of physicians to submit potential solutions of how to increase the availability of physicians in Europe. We offer the following improvements in tackling the issue: (i) standardization of the method of verification of the number of physicians in practice for a meaningful comparison between European states; (ii) managerial reorganization of medical education to increase the flexibility of teaching; (iii) education shortening, e.g., to 4 years, for nurses, paramedics, and the like; (iv) circumscription of unnecessary health records and the use of artificial intelligence to streamline the recording system to ease the burden on the medical staff.

摘要

经合组织(OECD)最近的一份报告指出,欧洲的医生人数不足。在面对 COVID-19 大流行的情况下,这个问题尤为突出。在这篇综述中,我们根据在 PubMed 数据库中找到的论文,利用有关医学教育方面以及医生的就业条款和比率的现有信息,提出了增加欧洲医生数量的潜在解决方案。我们提供了以下改进措施来解决这个问题:(i)标准化实践医生数量的验证方法,以便在欧洲国家之间进行有意义的比较;(ii)对医学教育进行管理重组,以提高教学的灵活性;(iii)缩短教育时间,例如将护士、辅助医务人员等的教育时间缩短至 4 年;(iv)限制不必要的健康记录的数量,并使用人工智能简化记录系统,以减轻医务人员的负担。

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