以色列医生短缺及改善的政策建议。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Yulia Treister-Goltzman, Roni Peleg
{"title":"以色列医生短缺及改善的政策建议。","authors":"Yulia Treister-Goltzman,&nbsp;Roni Peleg","doi":"10.1186/s13584-023-00552-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>There is a decrease in the supply of physicians in Israel resulting from the declining flow of immigrant physicians from the former Soviet Union, a large proportion of whom have reached retirement age in recent years. This problem could become worse because the number of medical students in Israel cannot increase quickly, especially because the number of clinical training sites is inadequate. The quick population growth and anticipated ageing will exacerbate the shortage. The aim of our study was to accurately assess the current situation and factors that affect it, and to propose systematic steps to improve the physician shortage.</p><p><strong>Main body: </strong>The number of physicians per capita is lower in Israel than in the OECD at 3.1 vs. 3.5 per 1000 population, respectively. About 10% of licensed physicians live outside of Israel. There is a sharp increase in the number of Israelis returning from medical school abroad, but some of those schools are of low academic standard. The main step is a gradual increase in the number of medical students in Israel with a transition of clinical practice to the community, and hospital clinical hours in the evening and in the summer. Students with high psychometric scores who were not admitted to an Israeli medical school would get support to study in quality medical schools abroad. Additional steps include encouraging physicians from abroad to come to Israel, especially in specializations in distress, recruitment of retired physicians, transferring functions to other medical professions, economic incentives for departments and teachers, and incentives to prevent physicians from quitting or migrating to other countries. It is also important to close the gap between the number of physicians working in central Israel and the periphery through grants, employment opportunities for physicians' spouses, and preferential selection of students from the periphery for medical school.</p><p><strong>Conclusions: </strong>Manpower planning requires a broad, dynamic perspective and collaboration among governmental and non-governmental organizations.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":3.5000,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931442/pdf/","citationCount":"2","resultStr":"{\"title\":\"The physician shortage in Israel and a policy proposal for improvement.\",\"authors\":\"Yulia Treister-Goltzman,&nbsp;Roni Peleg\",\"doi\":\"10.1186/s13584-023-00552-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>There is a decrease in the supply of physicians in Israel resulting from the declining flow of immigrant physicians from the former Soviet Union, a large proportion of whom have reached retirement age in recent years. This problem could become worse because the number of medical students in Israel cannot increase quickly, especially because the number of clinical training sites is inadequate. The quick population growth and anticipated ageing will exacerbate the shortage. The aim of our study was to accurately assess the current situation and factors that affect it, and to propose systematic steps to improve the physician shortage.</p><p><strong>Main body: </strong>The number of physicians per capita is lower in Israel than in the OECD at 3.1 vs. 3.5 per 1000 population, respectively. About 10% of licensed physicians live outside of Israel. There is a sharp increase in the number of Israelis returning from medical school abroad, but some of those schools are of low academic standard. The main step is a gradual increase in the number of medical students in Israel with a transition of clinical practice to the community, and hospital clinical hours in the evening and in the summer. Students with high psychometric scores who were not admitted to an Israeli medical school would get support to study in quality medical schools abroad. Additional steps include encouraging physicians from abroad to come to Israel, especially in specializations in distress, recruitment of retired physicians, transferring functions to other medical professions, economic incentives for departments and teachers, and incentives to prevent physicians from quitting or migrating to other countries. It is also important to close the gap between the number of physicians working in central Israel and the periphery through grants, employment opportunities for physicians' spouses, and preferential selection of students from the periphery for medical school.</p><p><strong>Conclusions: </strong>Manpower planning requires a broad, dynamic perspective and collaboration among governmental and non-governmental organizations.</p>\",\"PeriodicalId\":46694,\"journal\":{\"name\":\"Israel Journal of Health Policy Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2023-02-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931442/pdf/\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Israel Journal of Health Policy Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s13584-023-00552-1\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Israel Journal of Health Policy Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13584-023-00552-1","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 2

摘要

背景:由于来自前苏联的移民医生减少,以色列的医生供应减少,其中很大一部分人近年来已达到退休年龄。这一问题可能会变得更糟,因为以色列医学生的人数不能迅速增加,特别是因为临床培训地点的数量不足。人口的快速增长和预期的老龄化将加剧短缺。本研究的目的是准确评估我国医师短缺的现状及影响因素,并提出系统的改善措施。正文:以色列的人均医生数量低于经合组织,分别为3.1和3.5‰。大约10%的执业医生居住在以色列以外。从国外医学院回国的以色列人数量急剧增加,但其中一些医学院的学术水平很低。主要步骤是逐步增加以色列医学生的人数,将临床实践转移到社区,并在晚上和夏季增加医院的临床时间。心理测试分数高但未被以色列医学院录取的学生将得到支助,到国外高质量的医学院学习。其他措施包括鼓励国外医生来以色列,特别是困难专业的医生,征聘退休医生,将职能转移到其他医疗专业,向部门和教师提供经济奖励,以及采取奖励措施防止医生辞职或移徙到其他国家。同样重要的是,通过资助、为医生配偶提供就业机会以及优先选择来自边缘地区的学生进入医学院,缩小在以色列中部和边缘地区工作的医生人数之间的差距。结论:人力规划需要政府和非政府组织之间的广泛和动态的观点和合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The physician shortage in Israel and a policy proposal for improvement.

The physician shortage in Israel and a policy proposal for improvement.

The physician shortage in Israel and a policy proposal for improvement.

The physician shortage in Israel and a policy proposal for improvement.

Background: There is a decrease in the supply of physicians in Israel resulting from the declining flow of immigrant physicians from the former Soviet Union, a large proportion of whom have reached retirement age in recent years. This problem could become worse because the number of medical students in Israel cannot increase quickly, especially because the number of clinical training sites is inadequate. The quick population growth and anticipated ageing will exacerbate the shortage. The aim of our study was to accurately assess the current situation and factors that affect it, and to propose systematic steps to improve the physician shortage.

Main body: The number of physicians per capita is lower in Israel than in the OECD at 3.1 vs. 3.5 per 1000 population, respectively. About 10% of licensed physicians live outside of Israel. There is a sharp increase in the number of Israelis returning from medical school abroad, but some of those schools are of low academic standard. The main step is a gradual increase in the number of medical students in Israel with a transition of clinical practice to the community, and hospital clinical hours in the evening and in the summer. Students with high psychometric scores who were not admitted to an Israeli medical school would get support to study in quality medical schools abroad. Additional steps include encouraging physicians from abroad to come to Israel, especially in specializations in distress, recruitment of retired physicians, transferring functions to other medical professions, economic incentives for departments and teachers, and incentives to prevent physicians from quitting or migrating to other countries. It is also important to close the gap between the number of physicians working in central Israel and the periphery through grants, employment opportunities for physicians' spouses, and preferential selection of students from the periphery for medical school.

Conclusions: Manpower planning requires a broad, dynamic perspective and collaboration among governmental and non-governmental organizations.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信