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

How and why public sector doctors engage in private practice in Portuguese-speaking African countries

引用

HEALTH POLICY AND PLANNING 1998年第3期13卷 332-338页

作者： Ferrinho, P Van Lerberghe, W Julien, MR Fresta, E Gomes, A Dias, F Gonçalves, A Bäckström, B Univ Nova Lisboa Dept Saude Publ Inst Higiene & Med Trop Unidade Sistemas Saude P-1300 Lisbon Portugal Univ Nova Lisboa Inst Higiene & Med Trop Ctr Malaria & Outras Doencas Tropicais P-1300 Lisbon Portugal Inst Trop Med Prince Leopold Dept Publ Hlth B-2000 Antwerp Belgium Univ Eduardo Mondlane Fac Med Maputo Mozambique Minist de Saude Luanda Angola Minist da Saude Ctr Reg Desenvolvimento Sanitario Maputo Mozambique Minist Saude Lab Saude Publ Bissau Guinea Bissau

Objective: To explore the type of private practice supplementary income-generating activities of public sector doctors in the Portuguese-speaking African countries, and also to discover the motivations and the reasons why doctors have not made a complete move out of public service. Design: cross-sectional qualitative survey. Subjects: In 1996, 28 Angolan doctors, 26 from Guinea-Bissau, 11 from Mozambique and three from S Tome and Principe answered a self-administered questionnaire. Results: All doctors, except one unemployed, were government employees. Forty-three of the 68 doctors that answered the questionnaire reported an income-generating activity other than the one reported as principal. Of all the activities mentioned, the ones of major economic importance were: public sector medical care, private medical care, commercial activities, agricultural activities and university teaching. The two outstanding reasons why they engage in their various side-activities are 'to meet the cost of living' and 'to support the extended family'. Public sector salaries are supplemented by private practice. Interviewees estimated the time a family could survive on their public sector salary at seven days (median value). The public sector salary still provides most of the interviewees income (median 55%) for the rural doctors, but has become marginal for those in the urban areas (median 10%). For the latter, private practice has become of paramount importance (median 65%). For 26 respondents, the median equivalent of one month's public sector salary could be generated by seven hours of private practice. Nevertheless, being a civil servant was important in terms of job security, and credibility as a doctor. The social contacts and public service gave access to power centres and resources, through which other coping strategies could be developed. The expectations regarding the professional future and regarding the health systems future were related mostly to health personnel issues.

关键词：非洲非洲西部安哥拉几内亚比绍卫生保健调查卫生服务研究收入/统计学和数值数据莫桑比克私人开业/经济学私人开业/统计学和数值数据公共卫生管理/人力公共卫生管理/统计学和数值数据问卷调查薪金和附加福利/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

Returns to nursing education: Rural and nonrural practice

引用

JOURNAL OF RURAL HEALTH 1997年第1期13卷 78-85页

作者： Pan, SH Straub, L WESTERN ILLINOIS UNIV COLL BUSINESS & TECHNOLDEPT ECON1 UNIV CIRCLESTIPES HALL 442MACOMBIL 61455 USA

This study uses data from a national sample of registered nurses to compare earnings of nurses in rural and nonrural practice. The comparisons, conditioned by the nurses' educational level, are analogous to the concept of ''returns to human capital investment'' used in labor economics. A general linear model is applied within a framework of labor economics analysis. Results show that nurses with more education receive less for their investment if they practice in rural areas. Work experience and employment setting are also related to lower annualized earnings for rural practice. One exception to the otherwise consistent findings is that returns to advanced practice nursing are higher in rural areas. Results and policy implications are discussed.

关键词：数据收集人口统计学经济学护理学/统计学和数值数据教育护理继续教育程度模型经济计量学护士/分类护士/统计学和数值数据护士/供应和分配乡村卫生服务/经济学乡村卫生服务/人力薪金和附加福利/统计学和数值数据市区卫生服务/经济学市区卫生服务/人力

来源：评论

学校读者我要写书评

暂无评论

Sources of salary statistics for health care professionals

引用

Medical Reference Services Quarterly 1997年第4期16卷 43-54页

作者： Stimson, Nancy F. Health Sciences Library State University of New York at Buffalo United States

Salary statistics for various health care professions are much in demand, yet finding them is not always an easy task. This article provides an annotated list of selected sources of salary statistics for medicine, dentistry, nursing, pharmacy, occupational therapy, and physical therapy. Emphasis is placed on sources which are published regularly. Strategies for finding additional sources of salary statistics are also discussed. © 1997 by The Haworth Press, Inc. All rights reserved.

关键词：数据收集卫生职业/经济学信息服务图书馆医学参考书薪金和附加福利/统计学和数值数据学会美国

来源：评论

学校读者我要写书评

暂无评论

HOSPITAL WAGE GRADIENTS WITHIN UNITED-STATES URBAN AREAS

引用

JOURNAL OF HEALTH ECONOMICS 1989年第2期8卷 233-246页

作者： HENDRICKS, AM HLTH ECON RES NEEDHAMMA 02194 USA

Average wages from 2,275 general hospitals in metropolitan areas across the U.S. were used to test for a wage gradient descending from hospitals in the central city through those in urbanized and finally non-urbanized areas of each county-defined metropolitan area. Significant gradients were found in MSAs of all sizes. Urbanized-area wages were 3 to 6 percent lower than those in central cities of the same metropolitan area. Non-urbanized suburban wages were 10 to 12 percent lower than those in central cities. The explanations for the gradients differ somewhat between large and small areas. For example, while the relative mix of high-wage and low-wage occupations in each hospital is a significant explanatory variable for wages in all metropolitan area sizes, the relative use of part-time workers is not significant in those metropolitan areas with fewer than 250,000 people. Relative crime in each hospital's city is highly significant in explaining relative wages only for areas with populations of more than one million.

关键词：卫生服务范围数据收集经济学医院医院病床数医院市区/经济学模型统计学人员医院/经济学薪金和附加福利/统计学和数值数据郊区人口美国市区人口

来源：评论

学校读者我要写书评

暂无评论

Annual aircrew survey

引用

Air Medical Journal 1994年第7期13卷 275-279页

作者： Cady, Geoffrey

来源：评论

学校读者我要写书评

暂无评论

Accelerated second degree advanced practice nurses: How do they fare in the job market?

引用

NURSING OUTLOOK 2000年第5期48卷 218-222页

作者： White, KR Wax, WA Berrey, AL Virginia Commonwealth Univ Dept Hlth Adm Profess Grad Programs Richmond VA 23284 USA Virginia Commonwealth Univ Accelerated Second Degree Nurse Practitioner Prog Richmond VA 23284 USA

Accelerated, nontraditional, advanced practice nursing programs are an alternative way to increase the supply of nurse practitioners. This study profiles demographic and job characteristics of second degree, non-nurse college graduates who pursued graduate degrees in nursing. Graduates' sex, age, income, previous education, nursing experience, factors describing the scope of the advanced practice role, and quality of the educational experience were studied. Data were collected from 29 graduates (57%) from Virginia Commonwealth University's accelerated second-degree nursing program from 1995 through 1999, The findings have implications for nursing educators, health care administrators, employers, and other persons who plan and recruit for this type of nursing education program.

关键词：医务工作者的态度教育护理学士/组织和管理教育护理研究生/组织和管理就业/统计学和数值数据职务说明卫生服务使用研究开业护士/教育开业护士/组织和管理开业护士/心理学护理教育研究职业自主权专业能力方案评价问卷调查薪金和附加福利/统计学和数值数据弗吉尼亚成年人女(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

HOSPITAL EXPENDITURES IN THE UNITED-STATES AND CANADA - DO HOSPITAL WORKER WAGES EXPLAIN THE DIFFERENCES

引用

JOURNAL OF HEALTH ECONOMICS 1992年第4期11卷 453-465页

作者： HABER, SG ZWANZIGER, J ANDERSON, JGM THORPE, KE NEWHOUSE, JP UNIV N CAROLINA SCH PUBL HLTHDEPT HLTH POLICY & ADMCHAPEL HILLNC 27514 HARVARD UNIV SCH MEDDEPT HLTH CARE POLICYBOSTONMA 02115 HARVARD UNIV KENNEDY SCH GOVTCAMBRIDGEMA 02138 HARVARD UNIV SCH PUBL HLTHDEPT HLTH POLICY & MANAGEMENTBOSTONMA 02115 UNIV ROCHESTER DEPT COMMUNITY MEDROCHESTERNY 14627 UNIV BRITISH COLUMBIA CTR HLTH SERV & POLICY RESVANCOUVER V6T 1W5BCCANADA

An analysis indicates that higher wages cannot explain the substantially higher hospital expenditure rates in the US compared to Canada. On the contrary, hospital worker wage rates are lower in the US than in Canada, and it appears that they reflect differences between the countries in the markets for hospital labor, particularly among the less skilled occupations. It is not known why hospital labor markets might differ across countries. One explanation might be that collectively bargained wage levels are higher and that unionization is more widespread in Canadian hospitals. The finding that wages are lower in the US than in Canada strongly suggests that the difference in hospital costs between the 2 countries is primarily in the quantity of factor outputs, as well as in output differences, rather than in factor prices. Furthermore, it appears that greater amounts of both labor and non-labor inputs are used in US hospitals.

关键词：加拿大成本及成本分析/统计学和数值数据数据收集卫生经费支出/统计学和数值数据卫生服务研究模型经济计量学人员医院/经济学人员医院/统计学和数值数据薪金和附加福利/经济学薪金和附加福利/统计学和数值数据美国

来源：评论

学校读者我要写书评

暂无评论

Working conditions in home care: A survey of washington state’s home care workers

引用

Home Health Care Services Quarterly 1994年第4期14卷 37-48页

作者： Hayashi, Reiko Gibson, John W. Weatherley, Richard A. University of Washington School of Social Work WA United States School of Social Work University of Washington Seattle WA 98195 4101 15th Avenue NE JH-30 United States

Home care services make it possible for millions of older Americans to continue living in the community. Such services may enhance the recipients’ quality of life while providing essential respite to family caregivers. But while there has been increasing recognition of the burden borne by the predominantly female family caregivers, there has been less attention to the plight of the home care workforce. With the growth of the home care industry, the burden of care has to some extent shifted from one category of female caregivers to another. This paper, based on a survey of 16 agencies and 1,900 workers, examines the employment conditions of home care workers in Washington state. The study reveals a pattern of harsh working conditions, low wages, and few benefits. The findings raise questions about the ethics and efficacy of government policies that are based on the exploitation of home care workers. © 1994 Taylor & Francis Group, LLC.

关键词：数据收集人口统计学雇员不满/统计学和数值数据就业/经济学就业/统计学和数值数据家庭医疗保健服务/经济学家庭医疗保健服务/人力家庭医疗保健服务/统计学和数值数据在职培训/统计学和数值数据薪金和附加福利/统计学和数值数据华盛顿妇女就业/统计学和数值数据工作负荷量/统计学和数值数据女(雌)性人类中年人

来源：评论

学校读者我要写书评

暂无评论

Is hospital performance related to expenditure on management?

引用

Journal of Health Services Research and Policy 1999年第1期4卷 16-26页

作者： Street, A. Carr-Hill, R. Posnett, J. Gluckman, P. York Health Economics Consortium University of York Heslington York YO10 5DD United Kingdom

Objectives: Reducing the costs of management appears an easy target for those seeking to generate savings or to promote better spending in the National Health Service (NHS). However, an assessment of the appropriate amount of spending on management requires an evaluation of how much management contributes to organizational performance. Methods: Using routinely available NHS acute hospital data, an econometric analysis was undertaken to test the hypothesis that there is a relationship between the proportion of a hospital's income spent on management and the performance of the hospital measured along three dimensions: the achievement of financial targets;performance against waiting time standards defined in the Patient's Charter;and costs of service provision. Results: No general relationship was found between management costs and hospital performance. However, there was some evidence of a quadratic relationship between management spending and the amount of operating surplus generated and performance against the three-month waiting time standard for an inpatient admission specified in the Patient's Charter. These results suggest that performance returns reach an optimum when management expenditure is around 5-6% of hospital income. Conclusions: The evidence is not yet strong enough to draw a general conclusion that management costs in NHS acute hospitals are too high or that an undiscriminating reduction in management costs would have no detrimental effects on hospital performance. However, the findings should prompt managers to identify ways in which their activities are productive and how these can be measured, and what distinguishes effective from ineffective management.

关键词：最小二乘法分析管理审计/经济学病人满意度薪金和附加福利/统计学和数值数据公费医疗/经济学公费医疗/组织和管理人类

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：