Veterans Rural Health Resource Center-Iowa City, VA Office of Rural Health, and Center for Access and Delivery Research and Evaluation (CADRE) at the Iowa City VA Healthcare System, Iowa City (Drs O'Shea, Shahnazi, and Kaboli and Mr Haraldsson); Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City (Drs O'Shea and Kaboli); Center for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington (Drs Sterling and Wong); and Department of Health Systems and Population Health, University of Washington, Seattle (Dr Wong).
J Ambul Care Manage. 2023;46(1):25-33. doi: 10.1097/JAC.0000000000000429. Epub 2022 Aug 3.
Primary care providers (PCPs), including physicians and advanced practice providers, are the front line of medical care. Patient access must balance PCP availability and patient needs. This work develops a new PCP staffing metric using panel size and full-time equivalent data to determine whether a clinic is adequately staffed and describes variation by clinic rurality. Data were from the Veterans Health Administration, 2017-2021. Results describe the gap staffing metric, provide summary graphics, and compare the gap staffing between rural and urban clinics. This novel gap staffing metric can inform strategic clinic staffing in health care systems.
初级保健提供者（PCP），包括医生和高级执业医师，是医疗保健的第一线。患者就诊机会必须平衡 PCP 的可用性和患者的需求。本研究使用面板规模和全时当量数据开发了一种新的 PCP 人员配备指标，以确定诊所是否人员配备充足，并描述了诊所农村和城市地区的差异。数据来自退伍军人健康管理局，2017-2021 年。结果描述了差距人员配备指标，提供了汇总图形，并比较了农村和城市诊所之间的差距人员配备。这种新的差距人员配备指标可以为医疗保健系统的战略诊所人员配备提供信息。
