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新泽西州新冠疫情临时紧急互惠执照计划对医疗劳动力供应的影响

Impact Of The New Jersey COVID-19 Temporary Emergency Reciprocity Licensure Program On Health Care Workforce Supply.

作者信息

Nguyen Ann M, Schaler-Haynes Magda, Chou Jolene, Wetzel Matthew, Koller Margaret, Yedidia Michael J, Cantor Joel C

机构信息

Ann M. Nguyen (

Magda Schaler-Haynes, Office of the New Jersey Attorney General, Newark, New Jersey.

出版信息

Health Aff (Millwood). 2022 Aug;41(8):1125-1132. doi: 10.1377/hlthaff.2022.00249.

Abstract

New Jersey's COVID-19 Temporary Emergency Reciprocity Licensure program provided temporary licenses to more than 31,000 out-of-state health care practitioners. As one of the first COVID-19 hot spots in the US, New Jersey is uniquely positioned to provide insights on enabling an out-of-state health care workforce through temporary licensure to address critical, ongoing concerns about health care workforce supply. In January 2021 we surveyed New Jersey temporary licensees. We analyzed more than 10,000 survey responses and found that practitioners who used the temporary license originated from every state in the US, provided both COVID-19- and non-COVID-19-related care, served a combination of new and existing patients, conversed with patients in at least thirty-six languages, and primarily used telehealth. Findings suggest that temporary licensure of out-of-state practitioners, along with telehealth waivers, may be a valuable, short-term solution to mitigating health care workforce shortages during public health emergencies.

摘要

新泽西州的新冠疫情临时紧急互惠执照计划为31000多名外州医护人员提供了临时执照。作为美国最早的新冠疫情热点地区之一,新泽西州在通过临时执照启用外州医护人员队伍以解决对医护人员供应的持续重大担忧方面具有独特的优势,能够提供见解。2021年1月,我们对新泽西州的临时执照持有者进行了调查。我们分析了10000多份调查回复,发现使用临时执照的从业者来自美国的每个州,提供与新冠疫情相关和非新冠疫情相关的护理,服务新老患者,用至少36种语言与患者交流,并且主要使用远程医疗。研究结果表明,对外州从业者的临时执照发放以及远程医疗豁免,可能是缓解公共卫生紧急情况期间医护人员短缺问题的一个有价值的短期解决方案。

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