Jacoby I
Department of Preventive Medicine/Biometry, Uniformed Services University of the Health Sciences, Bethesda, MD 20814.
Phys Ther. 1995 Jan;75(1):38-44; discussion 45-6. doi: 10.1093/ptj/75.1.38.
In response to the existing undersupply of physical therapists and the projected changes of the health care reform era, it is prudent for the profession to consider implementing a training strategy that would bring the supply of physical therapists in line with requirements. Before such a training strategy could be developed, however, the physical therapy community would need to produce a requirements forecast. This article compares the uses and limitations of the two major methods for generating health professions requirements--the "need-based" and "demand-based" approaches--and recommends a pragmatic, tailored approach to determining physical therapist requirements that uses easily obtainable data on staffing patterns of managed care plans. The proposed method draws from both need-based and demand-based models to produce complementary data on which to base policy formation.
鉴于目前物理治疗师供应不足以及医疗保健改革时代预期的变化,该行业审慎考虑实施一项培训战略,以使物理治疗师的供应符合需求。然而,在制定这样一项培训战略之前,物理治疗界需要做出需求预测。本文比较了生成卫生专业人员需求的两种主要方法——“基于需求”和“基于需求”方法——的用途和局限性,并建议采用一种务实、量身定制的方法来确定物理治疗师的需求,该方法使用关于管理式护理计划人员配置模式的易于获取的数据。所提出的方法借鉴了基于需求和基于需求的模型,以生成用于政策制定的补充数据。