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本文引用的文献

1
The cost-effectiveness of physician assistants/associates: A systematic review of international evidence.医师助理/医师助手的成本效益:国际证据的系统评价。
PLoS One. 2021 Nov 1;16(11):e0259183. doi: 10.1371/journal.pone.0259183. eCollection 2021.
2
Primary care workforce paradox: A physician shortage and a PA and NP surplus.基层医疗劳动力悖论:医生短缺,而 PA 和 NP 过剩。
JAAPA. 2021 Oct 1;34(10):39-42. doi: 10.1097/01.JAA.0000791476.25727.d9.
3
Retention and change in PAs' first years of employment.医生在入职初期的留存与变动。
JAAPA. 2021 Jun 1;34(6):40-43. doi: 10.1097/01.JAA.0000750972.64581.b0.
4
The Association of American Medical Colleges' Local Area Physician Workforce Modeling Project.美国医学协会地方医师劳动力建模项目。
Acad Med. 2021 Oct 1;96(10):1393-1400. doi: 10.1097/ACM.0000000000004133.
5
Provider Teams Outperform Solo Providers In Managing Chronic Diseases And Could Improve The Value Of Care.医疗机构团队在慢性病管理方面优于单人提供者,并能够提高医疗服务的价值。
Health Aff (Millwood). 2021 Mar;40(3):435-444. doi: 10.1377/hlthaff.2020.01580.
6
Physician Assistants Employed by the Federal Government.联邦政府雇用的医师助理。
Mil Med. 2020 Jun 8;185(5-6):e649-e655. doi: 10.1093/milmed/usaa034.
7
The Affordable Care Act at 10 Years - Its Coverage and Access Provisions.《平价医疗法案》实施10周年——其覆盖范围与医保可及性条款
N Engl J Med. 2020 Mar 5;382(10):963-969. doi: 10.1056/NEJMhpr1916091. Epub 2020 Feb 26.
8
Association between frequency of primary care provider visits and evidence-based statin prescribing and statin adherence: Findings from the Veterans Affairs system.初级保健提供者就诊频率与基于证据的他汀类药物处方和他汀类药物依从性之间的关联:来自退伍军人事务系统的研究结果。
Am Heart J. 2020 Mar;221:9-18. doi: 10.1016/j.ahj.2019.11.019. Epub 2019 Dec 7.
9
PA practice analysis: Multidisciplinary tasks, knowledge, and skills.执业助理医师实践分析:多学科任务、知识与技能。
JAAPA. 2018 Dec;31(12):34-40. doi: 10.1097/01.JAA.0000547750.31052.5a.
10
Growing Ranks of Advanced Practice Clinicians - Implications for the Physician Workforce.高级执业临床医生队伍不断壮大——对医师劳动力的影响。
N Engl J Med. 2018 Jun 21;378(25):2358-2360. doi: 10.1056/NEJMp1801869.

预测医师助理/助理劳动力:2020年至2035年。

Forecasting the physician assistant/associate workforce: 2020-2035.

作者信息

Hooker Roderick S, Kulo Violet, Kayingo Gerald, Jun Hyun-Jin, Cawley James F

机构信息

Northern Arizona University, Phoenix, USA.

Physician Assistant Leadership and Learning Academy, Baltimore, USA.

出版信息

Future Healthc J. 2022 Mar;9(1):57-63. doi: 10.7861/fhj.2021-0193.

DOI:10.7861/fhj.2021-0193
PMID:35372769
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8966786/
Abstract

BACKGROUND

Physician assistant/associates (PAs) are healthcare professionals whose roles expand universal access across many nations. PAs fill medical provider supply and demand gaps. Our paper reports a forecasting project to predict the likely census of PAs in the medical workforce spanning from 2020 to 2035.

METHODS

Microsimulation modelling of the American PA workforce was performed using the number of clinically active PAs employed in 2020 as the baseline. Graduation rates and PA programme expansion were parameters used to predict annual growth; attrition estimates balanced the equation. Two models, one based on data from the US Bureau of Labor Statistics (BLS) and another based on National Commission on Certification of Physician Assistants (NCCPA) data were used to estimate future annual PA census numbers.

RESULTS

As of 2020, the BLS estimated 125,280 PAs were in the medical workforce; the NCCPA estimate was 148,560 PAs in active practice. The BLS model predicted approximately 204,243 clinically active PAs by 2035; the NCCPA-based model predicted 214,248 PAs in clinical practice.

CONCLUSIONS

A PA predictive model based on four data sources projects that the 2035 census of clinically active PAs to be between 204,000 and 214,000: a growth rate of approximately 35%.

摘要

背景

医师助理是医疗保健专业人员,其角色在许多国家扩大了全民医疗服务的可及性。医师助理填补了医疗服务提供者供需之间的差距。我们的论文报告了一个预测项目,以预测2020年至2035年医疗劳动力中医师助理的可能人数。

方法

以2020年就业的临床活跃医师助理数量为基线,对美国医师助理劳动力进行微观模拟建模。毕业率和医师助理项目扩张是用于预测年度增长的参数;损耗估计平衡了等式。使用两个模型,一个基于美国劳工统计局(BLS)的数据,另一个基于医师助理国家认证委员会(NCCPA)的数据,来估计未来每年医师助理的人数。

结果

截至2020年,BLS估计医疗劳动力中有125,280名医师助理;NCCPA估计有148,560名正在执业的医师助理。BLS模型预测到2035年约有204,243名临床活跃医师助理;基于NCCPA的模型预测临床实践中有214,