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Physician Staffing for the VA: Volume I.
| Clasificación: | Libro Electrónico |
|---|---|
| Autor principal: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
National Academies Press.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Physician Staffing for the VA
- Preface
- Acknowledgments
- Contents
- Executive Summary
- OVERVIEW OF THE STUDY
- Purpose and Scope
- Organization and Conduct of the Study
- Some Undergirding Assumptions
- DEFINING, BUILDING, AND RECONCILING ALTERNATIVE APPROACHES TO PHYSICIAN STAFFING
- Three General Approaches to Determining Physician Requirements
- The Empirically Based Physician Staffing Models
- Expert Judgment Models
- Reconciling the Approaches
- Using the Reconciliation Strategy to Calculate Physician FTEE
- External Norms
- OVERALL ADEQUACY OF PHYSICIAN STAFFING IN THE VA: COMMITTEE PERSPECTIVEVA CENTRAL OFFICE AND THE VAMC: PROMOTING A DIALOGUE
- AFFILIATIONS WITH MEDICAL SCHOOLS
- NONPHYSICIAN PRACTITIONERS
- FURTHER DEVELOPMENT OF THE METHODOLOGY
- CONCLUDING REMARKS
- 1 Overview of the Study
- PURPOSE AND SCOPE
- ORGANIZATION AND CONDUCT OF THE STUDY
- THE COMMITTEE PERSPECTIVE
- REFERENCES
- 2 Background
- CURRENT ALLOCATION OF PHYSICIANS IN THE VA
- Total Physicians, By Specialty
- How Physician FTEE Levels Currently Are Determined
- SOME UNDERGIRDING ASSUMPTIONSThe Methodology Focuses on Physician FTEE for VAMCs
- This Is Not a Needs-Based Approach
- Assuring the Quality of Care
- The Methodology Must Be Relevant to the Present, Flexible for the Future
- REFERENCES
- 3 Overview of the Analysis
- A CENTRAL PROBLEM: DETERMINING PHYSICIAN FTEE REQUIRED FOR PATIENT CARE AND RESIDENT EDUCATION
- DETERMINING PHYSICIAN REQUIREMENTS FOR OTHER MISSION-RELATED ACTIVITIES
- RECONCILING THE APPROACHES
- MANAGEMENT USES OF PHYSICIAN STAFFING MODELS
- PROJECTING FUTURE VA PATIENT WORKLOAD
- THE VAMC-MEDICAL SCHOOL AFFILIATION RELATIONSHIPNONPHYSICIAN PRACTITIONERS AND VA PHYSICIAN REQUIREMENTS
- COMMITTEE CONCLUSIONS AND RECOMMENDATIONS
- REFERENCE
- 4 The Empirically Based Physician Staffing Models
- HOW THE EMPIRICALLY BASED MODELS WORK
- Anatomy of the PF Variant
- Anatomy of the IPF Variant
- FORMAL PRESENTATION OF THE EBPSM
- Production Function
- Inverse Production Function
- USING VA DATA TO ASSIGN VALUES TO VARIABLES
- Workload
- Inpatient Care
- Ambulatory Care
- Long-Term Care
- VA Staff Physician FTEE
- Nurse FTEESupport-Staff FTEE
- Contract Physician FTEE
- Resident FTEE
- Nonpersonnel Factors Influencing Physician Productivity
- ESTIMATED PF AND IPF EQUATIONS
- PF Estimates
- Inpatient Medicine
- Inpatient Surgery
- Inpatient Psychiatry
- Inpatient Neurology
- Inpatient Rehabilitation Medicine
- Spinal Cord Injury
- Ambulatory Medicine
- Ambulatory Surgery
- Ambulatory Psychiatry
- Ambulatory Neurology
- Ambulatory Rehabilitation Medicine
- Ambulatory Other Physician Services
- Nursing Home Care
- Intermediate Care