Amy M J O'Shea, Bjarni Haraldsson, Ariana F Shahnazi, Ryan A Sterling, Edwin S Wong, Peter J Kaboli
{"title":"退伍军人健康管理局初级保健的新缺口人员配置指标及其对农村和城市诊所的影响。","authors":"Amy M J O'Shea, Bjarni Haraldsson, Ariana F Shahnazi, Ryan A Sterling, Edwin S Wong, Peter J Kaboli","doi":"10.1097/JAC.0000000000000429","DOIUrl":null,"url":null,"abstract":"<p><p>Primary care providers (PCPs), including physicians and advanced practice providers, are the front line of medical care. Patient access must balance PCP availability and patient needs. This work develops a new PCP staffing metric using panel size and full-time equivalent data to determine whether a clinic is adequately staffed and describes variation by clinic rurality. Data were from the Veterans Health Administration, 2017-2021. Results describe the gap staffing metric, provide summary graphics, and compare the gap staffing between rural and urban clinics. This novel gap staffing metric can inform strategic clinic staffing in health care systems.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 1","pages":"25-33"},"PeriodicalIF":1.6000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510806/pdf/jamcm-46-25.pdf","citationCount":"0","resultStr":"{\"title\":\"A Novel Gap Staffing Metric for Primary Care in the Veterans Health Administration and Implications for Rural and Urban Clinics.\",\"authors\":\"Amy M J O'Shea, Bjarni Haraldsson, Ariana F Shahnazi, Ryan A Sterling, Edwin S Wong, Peter J Kaboli\",\"doi\":\"10.1097/JAC.0000000000000429\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Primary care providers (PCPs), including physicians and advanced practice providers, are the front line of medical care. Patient access must balance PCP availability and patient needs. This work develops a new PCP staffing metric using panel size and full-time equivalent data to determine whether a clinic is adequately staffed and describes variation by clinic rurality. Data were from the Veterans Health Administration, 2017-2021. Results describe the gap staffing metric, provide summary graphics, and compare the gap staffing between rural and urban clinics. This novel gap staffing metric can inform strategic clinic staffing in health care systems.</p>\",\"PeriodicalId\":46654,\"journal\":{\"name\":\"JOURNAL OF AMBULATORY CARE MANAGEMENT\",\"volume\":\"46 1\",\"pages\":\"25-33\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510806/pdf/jamcm-46-25.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JOURNAL OF AMBULATORY CARE MANAGEMENT\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/JAC.0000000000000429\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/8/3 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOURNAL OF AMBULATORY CARE MANAGEMENT","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JAC.0000000000000429","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/8/3 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
A Novel Gap Staffing Metric for Primary Care in the Veterans Health Administration and Implications for Rural and Urban Clinics.
Primary care providers (PCPs), including physicians and advanced practice providers, are the front line of medical care. Patient access must balance PCP availability and patient needs. This work develops a new PCP staffing metric using panel size and full-time equivalent data to determine whether a clinic is adequately staffed and describes variation by clinic rurality. Data were from the Veterans Health Administration, 2017-2021. Results describe the gap staffing metric, provide summary graphics, and compare the gap staffing between rural and urban clinics. This novel gap staffing metric can inform strategic clinic staffing in health care systems.
期刊介绍:
The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.