检索结果-内蒙古大学图书馆

A study of the workforce in emergency medicine: 1999

ANNALS OF EMERGENCY MEDICINE 2002年第1期40卷 3-15页

作者： Moorhead, JC Gallery, ME Hirshkorn, C Barnaby, DP Barsan, WG Conrad, LC Dalsey, WC Fried, M Herman, SH Hogan, P Mannle, TE Packard, DC Perina, DG Pollack, CV Rapp, MT Rorrie, CC Schafermeyer, RW Oregon Hlth Sci Univ Dept Emergency Med Portland OR 97201 USA Amer Coll Emergency Phys Irvine CA USA Lewin Grp Falls Church VA USA Mt Sinai Sch Med Dept Emergency Med New York NY USA Univ Michigan Dept Emergency Med Ann Arbor MI 48109 USA St Joseph Hosp Dept Emergency Med Denver CO USA Robert Wood Johnson Univ Hosp Dept Emergency Med New Brunswick NJ USA Amer Coll Emergency Phys Washington DC USA Wesley Long Moses Cone Hosp Dept Emergency Med Greensboro NC USA Baylor Univ Med Ctr Dept Emergency Med Dallas TX USA Univ Virginia Hlth Sci Ctr Dept Emergency Med Charlottesville VA USA Penn Hosp Dept Emergency Med Philadelphia PA 19107 USA Washington Univ Sch Med & Hlth Dept Emergency Med Washington DC USA Carolinas Med Ctr Dept Emergency Med Charlotte NC 28203 USA

Study objective: We estimate the total number of physicians practicing clinical emergency medicine during a specified period, describe certain characteristics of those individuals to estimate the total number of full-time equivalents (FTEs) and the total number of individuals needed to staff those FTEs, and compare the data collected with those data collected in 1997. Methods: Data were gathered from a survey of a random sample of 2,153 hospitals drawn from a population of 5,329 hospitals reported by the American Hospital Association as having, or potentially having, an emergency department. The survey instrument addressed items such as descriptive data on the institution, enumeration of physicians in the ED, and the total number of physicians working during the period from June 6 to June 9, 1999. Demographic data on the individuals were also collected. Results: A total of 940 hospitals responded (a 44% return rate). These hospitals reported that a total of 6,719 physicians were working during the specified period, or an average of 7.85 persons scheduled per institution. The physicians were scheduled for a total of 347,702 hours. The average standard for FrE was 40 clinical hours per week. This equates to 4,346 FTEs or 5.29 FTEs per institution. The ratio of persons to FrEs was 1.48:1. With regard to demographics, 83% of the physicians were men, and 82% were white. Their average age was 42.6 years. As for professional credentials, 42% were emergency medicine residency trained, and 58% were board certified in emergency medicine;50% were certified by the American Board of Emergency Medicine. Conclusion: Given that there are 5,064 hospitals with EDs and given that the data indicate that there are 5.35 FTEs per ED, the total number of FTEs is projected to be 27,067 (SE=500). Given further that the data indicate a physician/FTE ratio of 1.47:1, we conclude that there are 39,746 persons (SE=806) needed to staff those FTEs. When adjusted for persons working at more than on

关键词：美国医院协会证明/统计学和数值数据急救医学/教育急诊室医院实习医师和住院医师职务/统计学和数值数据医务人员医院/标准医务人员医院/供应和分配人员配备和时间安排/统计学和数值数据专业场所/统计学和数值数据前瞻性研究薪金和附加福利/统计学和数值数据美国工作负荷量/统计学和数值数据成年人女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

COMPARISON OF JOB EXPECTATIONS FULFILLMENT OF BS AND ENTRY-LEVEL PHARMD GRADUATES IN HOSPITAL AND COMMUNITY PRACTICE

引用

AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION 1989年第2期53卷 133-137页

作者： COX, FM CARROLL, NV WOLFGANG, AP UNIV GEORGIA COLL PHARM ATHENS GA 30602 USA

Job expectations are an important link between work and subsequent employee mental and physical well-being. Schools and colleges play an important role in the development of job expectations. This role gives them the responsibility of not only technically training students but also instilling in them realistic job previews and career expectations. Failure to do so places the graduate in a state of conflict between the reality of work in his/her chosen career and his/her preconceived expectations regarding the work. This state represents a potential source of job-related stress. BS and entry level PharmD training programs represent two approaches to pharmaceutical education in a practice environment which remains essentially the same for graduates of both programs. As such, there is the potential for a mismatch of job expectations resulting from one or both of the degree types. The present study investigated the following research questions: (i) to what extent are job expectations being fulfilled for pharmacists in hospital and community pharmacy; and (ii) in community and hospital practice, does the fulfillment of job expectations of BS and entry level PharmD graduates differ? Questionnaires were mailed to randomly selected 1980 to 1986 graduates of seven schools or colleges of pharmacy to elicit responses regarding fulfillment of job expectations in their present community or hospital pharmacy positions. The response rate was 48 percent. The subsequent data revealed that pharmacists generally felt that their job expectations were being fulfilled. No differences in overall fulfillment of job expectations were found between BS and entry level PharmD graduates in either community or hospital pharmacy practice.(ABSTRACT TRUNCATED AT 250 WORDS)

关键词：医务工作者的态度/统计学和数值数据职业选择教育药学教育药学研究生职业满意药剂师/心理学药剂科医院/人力专业场所/统计学和数值数据问卷调查美国人类

来源：评论

学校读者我要写书评

暂无评论

The Development of a State‐level Health Manpower Database Using an Employer‐based Survey: A Pilot Project

引用

The Journal of Rural Health 1994年第3期10卷 199-207页

作者： Bamberg, Richard Malvey, Donna Wainright, Major Charles Fottler, Myron D. Joiner, Charles L. University of Alabama-Birmingham Birmingham Alabama United States Administration-Health Services University of Alabama-Birmingham Birmingham Alabama United States Administration-Health Services School of Health Related Professions University of Alabama-Birmingham Birmingham Alabama United States School of Health University of Alabama-Birmingham Birmingham Alabama United States Board for Alabama's Health Professiosn Eduction Employment Council Niversity of Alabama-Birmingham Birmingham Alabama United States

State health care reform may provide a better approach to meeting the health care needs of rural communities than does federal reform because the planning is closer to the needs of local communities. However, state health reform requires a health manpower database (along with other data) that includes all health occupations and such databases are often nonexistent. This study reports on one element of such a database–a survey of a wide range of rural health care employers covering the full range of health occupations in Alabama. Information on current and future employment of the most significant health occupations is reported here. It was found that the greatest numbers of new health personnel employees needed in the future were, in descending order, nursing assistants, registered nurses, licensed practical nurses, radiological technicians, specialist physicians, nurse practitioners, physical therapists, primary care physicians, and respiratory care therapists. While an employer survey has limitations and should be supplemented by data on community needs and health status indicators, it does provide useful information for planning educational programs to prepare health personnel. Copyright © 1994, Wiley Blackwell. All rights reserved

关键词：亚拉巴马数据收集数据库事实型就业/统计学和数值数据卫生人力/统计学和数值数据卫生服务研究/方法院内诊疗/统计学和数值数据私人开业/统计学和数值数据专业业务/统计学和数值数据专业场所/统计学和数值数据农村卫生州卫生计划美国

来源：评论

学校读者我要写书评

暂无评论

Determinants of Physician Vacancy Rates in Rural Hospitals

引用

The Journal of Rural Health 1994年第1期10卷 38-48页

作者： Hyde, John C. Fottler, Myron D. Administration-Health Services Department of Health Services Administration of the School of Health Related University of Alabama Birmingham Alabama United States

This study examines the determinants of physician vacancy rates in rural hospitals from the perspective of the rural hospital administrator. Data on community characteristics, hospital characteristics, and hospital recruitment strategies are examined for 50 rural hospitals in Kentucky using questionnaire and archival data. Physician vacancy rates in this sample were quite high (mean of 37 percent). Results indicate lower physician vacancy rates in hospitals with a chain affiliation. In addition, the “job shopping” model for physicians decisions on where to practice (Johnson, 1978) is supported. Hospitals that target physician candidates with more work experience display lower physician vacancy rates. Generally, hospital characteristics ivere more significant predictors of physician vacancy rates than were community characteristics. Implications for rural hospital physician recruitment/retention strategies are discussed. Copyright © 1994, Wiley Blackwell. All rights reserved

关键词：职业选择数据收集评价研究卫生服务研究医院乡村/人力医院乡村/统计学和数值数据肯塔基医务人员医院/统计学和数值数据医务人员医院/供应和分配人员选用/方法专业场所/统计学和数值数据社会经济因素

来源：评论

学校读者我要写书评

暂无评论

Rural populations and rural physicians: Estimates of critical mass ratios, by specialty

引用

Journal of Rural Health 1991年第4 SUPPL.期7卷 357-372页

作者： Hicks L.L. Glenn J.K. Health Services Management 301 Clark Hall University of Missouri Columbia MO 65211 United States

As physicians and other providers of health care services see their traditional markets erode, an increasingly important element of any provider location decision is the determination of population base or 'critical mass' that can professionally and financially support a given set of health care services. While the size of a local population is not the sole determinant of success, ultimately an adequate population base to support a given spectrum of services must be defined, and providers increasingly need tools for evaluating opportunities in the new economic market. This is especially true in rural areas. An earlier supply and demand model for estimating the critical mass of population needed to support a physician in any one of 25 specialties and subspecialties in urban and suburban areas is adapted to the rural market. The assumptions inherent in the earlier model are examined and the issue of 'critical mass' is examined from a rural health care perspective in this paper.

关键词：卫生服务范围/统计学和数值数据数据收集卫生人力/统计学和数值数据卫生服务需求/统计学和数值数据模型统计学医师/供应和分配专业场所/统计学和数值数据研究设计农村卫生/统计学和数值数据农村人口/统计学和数值数据社会经济因素专业医学/人力专业医学/统计学和数值数据美国城市卫生/统计学和数值数据

来源：评论

学校读者我要写书评

暂无评论

Effects of second office and hospital consulting practices of physicians on rural communities

引用

JOURNAL OF RURAL HEALTH 1997年第3期13卷 179-189页

作者： Hicks, LL Hassinger, E Taparanskas, W UNIV MISSOURI 324 CLARK HALLCOLUMBIAMO 65211 USA

This research examined the prevalence of second offices and hospital consulting practices of physicians in Missouri, the characteristics of physicians participating in such practices, the change in availability of services through these practices, the characteristics of counties and hospitals involved, and the practice organization of participating physicians. The assessment of the factors was conducted within the conceptual framework of community and physician characteristics, practice form and organization, and health system resources. In 1993, 64 of the 93 nonmetropolitan counties in Missouri, gained, on average, 1.3 full-time equivalent physicians through second office and hospital consulting practices. Eighteen nonmetropolitan counties lost, on average, 0.4 full-time equivalent physicians through these practices;11 nonmetropolitan counties were not affected. The majority of physicians engaged in these two types of practices are nonprimary care specialists. Consequently, in addition to the net contribution to total physician service availability, many nonmetropolitan counties gained access locally to a wider variety of specialty services. This change in availability of physician services, not generally incorporated in decisions, needs to be considered when policy efforts are undertaken to change the spatial and specialty distribution of physicians.

关键词：职业选择卫生保健调查/方法卫生服务易得程度卫生服务研究医院乡村/人力院内诊疗医务人员医院/供应和分配密苏里医师/统计学和数值数据医师/供应和分配医师办公室专业场所/统计学和数值数据转诊和会诊/组织和管理乡村卫生服务/人力女(雌)性人类男(雄)性

来源：评论

学校读者我要写书评

暂无评论

Contract design for primary care physicians: Physician location and practice behaviour in small communities

引用

Health Care Management Science 2000年第2期3卷 151-157页

作者： Sørensen, Rune J. Grytten, Jostein Norwegian School of Management Sandvika Norway Institute of Community Dentistry University of Oslo Oslo Norway

Most western countries employ a combination of fee-for-service, fixed salary and per capita subsidies to finance the services of general practitioners. Based on Norwegian data, the authors demonstrate that these fianancial schemes have been used in different types of municipalities. The authors argue that the fee-for-service and per capita components should be allowed to vary between primary physicians and municipalities: (a) If the patient population per primary physician is low and patient supply is unstable, the per capita subsidy or work-free income should be differentiated to ensure recruitment of physicians, (b) Physicians in municipalities with low physician coverage should be allotted a low basic grant, whilst per capita subsidy and fee-for-service payments should be used to stimulate service production. The opposite situation exists where there is a potential of supplier inducement due to high physician coverage, (c) The responsibility for designing contracts should be assigned to local rather than national authorities. These suggestions go against important elements in the reform of primary physician services in Norway. © Baltzer Science Publishers BV.

关键词：按人收费/组织和管理职业选择合同业务/组织和管理家庭医学/组织和管理按诊疗收费计划/组织和管理模型经济计量学挪威医师诊疗模式/组织和管理人口密度专业场所/统计学和数值数据薪金和附加福利/统计学和数值数据工作负荷量人类

来源：评论

学校读者我要写书评

暂无评论

Two decades of experience in the University of Washington Family Medicine Residency Network: Practice differences between graduates in rural and urban locations

引用

Journal of Rural Health 1995年第1期11卷 60-72页

作者： Baldwin, L.-M. Hart, L.G. West, P.A. Norris, T.E. Gore, E. Schneeweiss, R. Department of Family Medicine School of Medicine University of Washington Seattle WA 98195 United States

This study describes how graduates of the University of Washington Family Medicine Residency Network who practice in rural locations differ from their urban counter-parts in demographic characteristics, practice organization, practice content and scope of services, and satisfaction. Five hundred and three civilian medical graduates who completed their residencies between 1973 and 1990 responded to a 27-item questionnaire sent in 1992 (84% response rate). Graduates practicing outside the United States in a specialty other than family medicine or for fewer than 20 hours per week in direct patient care were excluded from the main study, leaving 116 rural and 278 urban graduates in the study. Thirty percent of graduates reported practicing in rural counties at the time of the survey. Rural graduates were more likely to be in private and solo practices than urban graduates. Rural graduates spent more time in patient care and on call, performed a broader range of procedures, and were more likely to practice obstetrics than urban graduates. Fewer graduates in rural practice were women. A greater proportion of rural graduates had been defendants in medical malpractice suits. The more independent and isolated private and solo practice settings of rural graduates require more practice management skills and support. Rural graduates' broader scope of practice requires training in a full range of procedures and inpatient care, as well as ambulatory care. Rural communities and hospitals also need to develop more flexible practice opportunities, including salaried and part-time positions, to facilitate recruitment and retention of physicians, especially women.

关键词：卡方分布卫生服务研究实习医师和住院医师职务医疗事故医师家庭/统计学和数值数据医师女/统计学和数值数据专业业务/统计学和数值数据专业场所/统计学和数值数据问卷调查农村卫生/统计学和数值数据城市卫生/统计学和数值数据华盛顿女(雌)性人类

来源：评论

学校读者我要写书评

暂无评论

THE IMPACT OF PHYSICIAN CHARACTERISTICS IN CONDITIONAL CHOICE MODELS FOR HOSPITAL-CARE

引用

JOURNAL OF HEALTH ECONOMICS 1992年第1期11卷 43-62页

作者： BURNS, LR WHOLEY, DR UNIV ARIZONA COLL BUSINESS & PUBL ADMSCH PUBL ADMTUCSONAZ 85721 CARNEGIE MELLON UNIV DEPT SOCIAL & DECIS SCIPITTSBURGHPA 15213

Recent research has investigated the determinants of the specific hospitals to which patients are admitted. Data limitations have led researchers to examine the effects of patient and hospital characteristics while ignoring the role of physician characteristics. In this study we analyze the effects of all three sets of factors on hospital choice in the greater Phoenix area during 1989. Our results suggest that physician characteristics are strong determinants of hospital choice, accounting for much of the explained variation. Differences in hospital quality and cost, on the other hand, exert significant effects on hospital choice but explain relatively little variation.

关键词：亚利桑那卫生服务范围/统计学和数值数据选择行为诊断相关患者组/统计学和数值数据费用和收费/统计学和数值数据卫生服务研究/方法医院死亡率医院/分类医院/统计学和数值数据医院/利用模型统计学医师/分类医师/统计学和数值数据医师/利用专业场所/统计学和数值数据卫生保健质量/统计学和数值数据回归分析运输人类

来源：评论

学校读者我要写书评

暂无评论

Interactions with Colleagues and Their Effects on the Satisfaction of Rural Primary Care Physicians

引用

The Journal of Rural Health 1995年第3期11卷 185-191页

作者： Ramsbottom‐Lucier, Mary T. Johnson, Mitzi M.S. Rich, Eugene C. Division of General Internal Medicine and Geriatrics University of Kentucky Lexington Kentucky 40536‐0284 K512 Kentucky Clinic United States

Abstract: Physician work satisfaction is related to several aspects of practice organization, including work group or colleagues, job content, work hours, and future opportunities. Practice location is an important determinant of practice organization and personal life satisfaction. This study compared the professional satisfaction of physicians in rural and urban settings to determine how practice setting, practice type, work hours, and interactions with colleagues influenced satisfaction. Surveys focusing on professional satisfaction were mailed to community‐based, primary care physicians in Kentucky. Overall, physicians were satisfied with their practices, with physicians in larger communities being more satisfied than those from smaller communities. Professional satisfaction was associated with practice location, practice type, number of years since graduation from medical school, number of colleagues identified, and the quality of professional interactions with colleagues. The study concluded that collegial support for physicians is important in creating work environments that promote professional satisfaction. Copyright © 1995, Wiley Blackwell. All rights reserved

关键词：职业间关系职业满意肯塔基多元分析医师家庭/心理学医师家庭/统计学和数值数据专业场所/统计学和数值数据问卷调查乡村卫生服务/人力工作负荷量女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：