Breegle G G, King E
Phys Ther. 1982 Sep;62(9):1297-306. doi: 10.1093/ptj/62.9.1297.
Faced with the difficult task of coordinating statewide health education, the Kentucky Council on Higher Education is using several manpower projection statistics as one component of their decision-making process. These manpower data are essential when considering the establishment, expansion, continuation, or termination of health-related academic programs. Three models were used to project manpower requirements for licensed physical therapists in Kentucky. The models were 1) manpower:population ratio, 2) trend analysis based on time series, and 3) the American Physical Therapy Association's health-needs method. Four variants of the manpower:population ratio model are discussed and presented: population ratio based ona 1) national ratio, 2) Kentucky ratio, 3) weighted national ratio, and 4) weighted Kentucky radio. The trend analysis model is presented and discussed. The health-needs approach, based on expert opinion and health-related variables, identifies the quantity and quality of services required to provide the Kentucky population with the best possible care. The paper concludes with three brief scenarios describing the possible effects of the three models and physical therapy in Kentucky. The scenarios unfold from differing assumption about the effects of manpower production on health care. Scenario A is a "current arrangement" scenario. Scenario B considers the effects of predicting future manpower requirements and resources based on the past. Scenario C projects the effects of a comprehensive plan on the goal of producing the best possible care for all Kentuckians.
面对协调全州健康教育这项艰巨任务,肯塔基高等教育委员会将若干人力预测统计数据作为其决策过程的一个组成部分。在考虑设立、扩大、延续或终止与健康相关的学术项目时,这些人力数据至关重要。使用了三种模型来预测肯塔基州持证物理治疗师的人力需求。这些模型分别是:1)人力与人口比率模型;2)基于时间序列的趋势分析模型;3)美国物理治疗协会的健康需求法模型。文中讨论并展示了人力与人口比率模型的四种变体:1)基于全国比率的人口比率模型;2)基于肯塔基州比率的人口比率模型;3)加权全国比率模型;4)加权肯塔基州比率模型。文中介绍并讨论了趋势分析模型。基于专家意见和与健康相关变量的健康需求法,确定为肯塔基州民众提供尽可能最佳护理所需服务的数量和质量。本文最后给出了三个简短的设想情景,描述了这三种模型以及肯塔基州物理治疗可能产生的影响。这些情景是基于对人力产出对医疗保健影响的不同假设展开的。情景A是“当前安排”情景。情景B考虑了基于过去情况预测未来人力需求和资源的影响。情景C预测了一项全面计划对为所有肯塔基人提供尽可能最佳护理这一目标的影响。