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Healthcare workforce

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159 papers 25 to 100 followers
By Jamie Jarmul Md / PhD student at UNC - Chapel Hill, PhD in Health Policy and Management
John N Mafi, Christina C Wee, Roger B Davis, Bruce E Landon
BACKGROUND: Many physicians believe that advanced practice clinicians (APCs [nurse practitioners and physician assistants]) provide care of relatively lower value. OBJECTIVE: To compare use of low-value services among U.S. APCs and physicians. DESIGN: Service use after primary care visits was evaluated for 3 conditions after adjustment for patient and provider characteristics and year. Patients with guideline-based red flags were excluded and analyses stratified by office- versus hospital-based visits, acute versus nonacute presentations, and whether clinicians self-identified as the patient's primary care provider (PCP)...
August 16, 2016: Annals of Internal Medicine
Eugene C Rich
No abstract text is available yet for this article.
August 16, 2016: Annals of Internal Medicine
Eve Denton, Matthew Conron
Lung cancer is a major worldwide health burden, with high disease-related morbidity and mortality. Unlike other major cancers, there has been little improvement in lung cancer outcomes over the past few decades, and survival remains disturbingly low. Multidisciplinary care is the cornerstone of lung cancer treatment in the developed world, despite a relative lack of evidence that this model of care improves outcomes. In this article, the available literature concerning the impact of multidisciplinary care on key measures of lung cancer outcomes is reviewed...
2016: Journal of Multidisciplinary Healthcare
Tyler N A Winkelman, Lisa Soleymani Lehmann, Navjyot K Vidwan, Meredith Niess, Cynthia S Davey, Derek Donovan, Joseph Cofrancesco, Mia Mallory, Sandi Moutsios, Ryan M Antiel, John Y Song
BACKGROUND: It is not known whether medical students support the Affordable Care Act (ACA) or possess the knowledge or will to engage in its implementation as part of their professional obligations. OBJECTIVE: To characterize medical students' views and knowledge of the ACA and to assess correlates of these views. DESIGN: Cross-sectional email survey. PARTICIPANTS: All 5,340 medical students enrolled at eight geographically diverse U...
July 2015: Journal of General Internal Medicine
Patrick C Harper
OBJECTIVE: To compare legislation at the federal level that would recognize pharmacists as health care providers under Medicare Part B with similar state-level efforts in an attempt to identify the strengths and weaknesses of these options and forecast outcomes. SUMMARY: The current primary care provider shortage poses a significant threat to public health in the United States. The effort to achieve federal provider status for pharmacists, currently in the form of identical bills introduced in January 2015 into the U...
March 2015: Journal of the American Pharmacists Association: JAPhA
Lan T Nguyen, Timothy M Maul, Morgan Hindes, Curt J Daniels, Michelle Gurvitz, Stephen C Cook
Adult congenital heart disease (ACHD) presents a unique and growing patient population, but there are no data to suggest there are sufficient training programs available to train specialists to meet the needs of this population. The objective of this national survey was to determine the current status of ACHD fellowship curricula and training. An online questionnaire was provided to adult and pediatric cardiology fellowship programs to determine program demographics, status, duration, faculty teaching responsibilities, volume or patient exposure, and institutional obstacles...
April 15, 2015: American Journal of Cardiology
Angela J Beck, Matthew L Boulton
OBJECTIVES: We assessed state and local public health workforce characteristics by occupational category from 2010 to 2013. We also examined health department characteristics to determine whether workforce size and composition varied across these domains. METHODS: We analyzed Association of State and Territorial Health Officials (2010, 2012) and National Association of County and City Health Officials (2010, 2013) profile study data, including 47 state health departments and 2005 and 1953 local health departments (LHDs) in 2010 and 2013, respectively...
April 2015: American Journal of Public Health
Dania Daye, Chirag B Patel, Jaimo Ahn, Freddy T Nguyen
Physician-scientists, with in-depth training in both medicine and research, are uniquely poised to address pressing challenges at the forefront of biomedicine. In recent years, a number of organizations have outlined obstacles to maintaining the pipeline of physician-scientists, classifying them as an endangered species. As in-training and early-career physician-scientists across the spectrum of the pipeline, we share here our perspective on the current challenges and available opportunities that might aid our generation in becoming independent physician-scientists...
March 2, 2015: Journal of Clinical Investigation
Joyce E Dains, Barbara L Summers
To ensure a well-prepared advanced practice oncology nursing workforce, we developed a unique yearlong fellowship promoting expertise in cancer care and focusing on the development of in-depth knowledge and evidence-based clinical oncology practice. This article describes the process for developing and implementing the fellowship and its components, outcomes, and attributes for success.
March 2015: Journal of Nursing Administration
Lee M Pachter, Cheryl Kodjo
This article describes a program aimed to increase workforce diversity and underrepresented minority (URM) representation in academic pediatric medicine. The New Century Scholars (NCScholars) program is a core program in the Academic Pediatric Association, the largest national organization for academic pediatric generalists. The program selects URM pediatric (or medicine-pediatrics) residents who are interested in academic careers and provides each NCScholar with a junior and senior mentor, as well as travel grants to the Pediatric Academic Societies annual meeting where activities specific to the program are held, and provides ongoing mentorship and career counseling support...
July 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Geraldine M Budd, Andrea Wolf, Richard Eric Haas
Primary care is a growing area, and nurse practitioners (NPs) hold promise for meeting the need for additional providers. This article reports on the future plans of more than 300 primary care NP students in family, adult, and adult gerontology programs. The sample was obtained through NP faculty, and data were collected via an online survey. Results indicated that although these students chose primary care, only 48% anticipated working in primary care; 26% planned to practice in rural areas, and 16% planned to work in an inner city...
March 2015: Journal of Nursing Education
Hugh H Tilson, Kaye W Bender, Jessica L Kronstadt
No abstract text is available yet for this article.
2015: Frontiers in Public Health
Theresa Thoma-L├╝rken, Michel H C Bleijlevens, Monique A S Lexis, Jan P H Hamers, Luc P de Witte
OBJECTIVES: Increasing demands in long-term care for older people and a decrease in workforce availability can be expected in the future. These developments challenge the sustainability and quality of long-term care for older people. To address these challenges, long-term care organizations are forced to innovate. The aim of this study is to provide an overview of potential labor-saving and quality-improving innovations long-term care organizations are working on and to assess the self-reported extent of effectiveness...
June 1, 2015: Journal of the American Medical Directors Association
Olivia King, Susan A Nancarrow, Alan M Borthwick, Sandra Grace
BACKGROUND: Across the Western world, demographic changes have led to healthcare policy trends in the direction of role flexibility, challenging established role boundaries and professional hierarchies. Population ageing is known to be associated with a rise in prevalence of chronic illnesses which, coupled with a reducing workforce, now places much greater demands on healthcare provision. Role flexibility within the health professions has been identified as one of the key innovative practice developments which may mitigate the effects of these demographic changes and help to ensure a sustainable health provision into the future...
2015: Journal of Foot and Ankle Research
A H Hal Strelnick, Matthew R Anderson, Sandra Braganza, Linnea Capps, Marji Gold, Victoria Gorski, Eliana Korin, Bruce Soloway, Janet Townsend
No abstract text is available yet for this article.
November 2014: Family Medicine
Edward I Bluth, Swati Bansal, Katarzyna J Macura, Julia Fielding, Hang Truong
PURPOSE: As part of the 2014 ACR Human Resources Commission Workforce Survey, an assessment of the gender of the U.S. radiologist workforce was undertaken. Radiologist gender in relation to type of practice, work location, leadership roles, and full- versus part-time employment have not previously been assessed by this survey. METHODS: The survey was completed by group leaders in radiology identified through the Practice of Radiology Environment Database. RESULTS: The response rate to the survey was 22%, representing 35% of all practicing radiologists...
February 2015: Journal of the American College of Radiology: JACR
Ernest Blake Fagan, Claire Gibbons, Sean C Finnegan, Stephen Petterson, Lars E Peterson, Robert L Phillips, Andrew W Bazemore
BACKGROUND AND OBJECTIVES: The US Graduate Medical Education (GME) system is failing to produce primary care physicians in sufficient quantity or in locations where they are most needed. Decentralization of GME training has been suggested by several federal advisory boards as a means of reversing primary care maldistribution, but supporting evidence is in need of updating. We assessed the geographic relationship between family medicine GME training sites and graduate practice location...
February 2015: Family Medicine
J Buchan, D Twigg, G Dussault, C Duffield, P W Stone
AIM: Examine metrics and policies regarding nurse workforce across four countries. BACKGROUND: International comparisons inform health policy makers. METHODS: Data from the OECD were used to compare expenditure, workforce and health in: Australia, Portugal, the United Kingdom (UK) and the United States (US). Workforce policy context was explored. RESULTS: Public spending varied from less than 50% of gross domestic product in the US to over 80% in the UK...
June 2015: International Nursing Review
Elizabeth Reisinger Walker, Frank W Berry, Tod Citron, Judy Fitzgerald, Mark H Rapaport, Bryan Stephens, Benjamin G Druss
Similar to other states, Georgia is facing workforce challenges within its community mental health system. These issues may be exacerbated as implementation of the Affordable Care Act expands demand for behavioral health services. Georgia's Department of Behavioral Health and Developmental Disabilities commissioned a needs assessment to examine the shortage of prescribing providers (psychiatrists, advanced practice registered nurses, and physician assistants) in the state's public mental health system. A unique partnership of key stakeholders developed and conducted the mixed-methods needs assessment at six of Georgia's 27 community mental health centers serving more than 40,000 patients annually...
February 1, 2015: Psychiatric Services: a Journal of the American Psychiatric Association
Mayuko Uchida-Nakakoji, Patricia W Stone, Susan K Schmitt, Ciaran S Phibbs
OBJECTIVE: To examine effects of workforce characteristics on resident infections in Veterans Affairs (VA) Community Living Centers (CLCs). DATA SOURCES: A 6-year panel of monthly, unit-specific data included workforce characteristics (from the VA Decision Support System and Payroll data) and characteristics of residents and outcome measures (from the Minimum Data Set). STUDY DESIGN: A resident infection composite was the dependent variable...
March 2015: Medical Care
2015-02-04 01:38:51
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