2019 年及以后的物理治疗师劳动力，第 1 部分：横断面调查结果。

The Physiatry Workforce in 2019 and Beyond, Part 1: Results From a Cross-sectional Survey.

机构信息

From the Center for Health Workforce Studies, School of Public Health, University at Albany SUNY, Rensselaer, New York (GJF, ML, SW); IHS Markit, Washington, DC (TMD, RLR, RC); Moss Rehabilitation Research Institute, Elkins Park, Pennsylvania (JW); Department of Rehabilitation Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (NSA); VA North Texas Health Care System, University of Texas Southwestern Medical Center, Dallas, Texas (TMA); Stanford University School of Medicine, Stanford, California (MF); Department of Physical Medicine and Rehabilitation, University of Texas Southwestern, Dallas, Texas (NBJ); Departments of Physical Medicine & Rehabilitation and Anesthesiology & Perioperative Care and Neurological Surgery, University of California, Irvine, California (DPK); Department of Rehabilitation Medicine, University of Washington, Seattle, Washington (DCM); VA Puget Sound Health Care System Center for Limb Loss and Mobility (CLiMB), Seattle, Washington (DCM); Spaulding Rehabilitation Hospital, Boston, Massachusetts (CS); Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts (CS); and Georgetown University School of Medicine, Washington, DC (EW).

出版信息

Am J Phys Med Rehabil. 2021 Sep 1;100(9):866-876. doi: 10.1097/PHM.0000000000001692.

DOI:10.1097/PHM.0000000000001692

PMID:33443853

Abstract

OBJECTIVE

The aim of the study was to describe the current physiatrist workforce in the United States.

DESIGN

An online, cross-sectional survey of board-certified physiatrists in 2019 (N = 616 completed, 30.1% response) collected information about demographic and practice characteristics, including age, sex, practice area, practice setting, hours worked, patient characteristics, staffing, and work responsibilities. Physiatrists were stratified by substantive practice patterns using a cluster analysis approach. Survey responses were arrayed across the practice patterns and differences noted.

RESULTS

The practice patterns identified included musculoskeletal/pain medicine, general/neurological rehabilitation, academic practice, pediatric rehabilitation, orthopedic/complex conditions rehabilitation, and disability/occupational rehabilitation. Many differences were observed across these practice patterns. Notably, primary practice setting and the extent and ways in which other healthcare staff are used in physiatry practices differed across practice patterns. Physiatrists working in musculoskeletal/pain medicine and disability/occupational rehabilitation were least likely to work with nurse practitioners and physician assistants. Physiatrists working in academic practice, general/neurological rehabilitation, and pediatric rehabilitation were most likely to have primary practice settings in hospitals.

CONCLUSIONS

Physiatry is an evolving medical specialty affected by many of the same trends as other medical specialties. The results of this survey can inform policy discussions and further research on the effects of these trends on physiatrists and physiatry practice in the future.

摘要

目的

本研究旨在描述美国目前的物理治疗师劳动力情况。

设计

2019 年对已通过董事会认证的物理治疗师进行的一项在线横断面调查（共完成 616 份，应答率为 30.1%），收集了有关人口统计学和实践特征的信息，包括年龄、性别、实践领域、实践环境、工作时间、患者特征、人员配备和工作责任。物理治疗师根据实质性实践模式进行分层，采用聚类分析方法。将调查回复排列在实践模式中，并注意到差异。

结果

确定的实践模式包括肌肉骨骼/疼痛医学、一般/神经康复、学术实践、儿科康复、骨科/复杂疾病康复和残疾/职业康复。这些实践模式之间存在许多差异。值得注意的是，主要的实践环境以及物理治疗师实践中使用其他医疗保健人员的程度和方式因实践模式而异。从事肌肉骨骼/疼痛医学和残疾/职业康复的物理治疗师最不可能与执业护士和医师助理合作。在学术实践、一般/神经康复和儿科康复领域工作的物理治疗师最有可能在医院担任主要的执业环境。