National health care system challenge While recruiting and maintaining a doctor High turnover Effect on patient treatment. research In addition, new employees are often less productive than their experienced colleagues. The cost and impact of the turnover rate when the newly employed doctor takes a long time to reach full productivity. Patient approach It can be larger than expected. Health systems may not be enough to ensure stable treatment during this transition. There was little research on how doctor’s term affects productivity, and the gap between manpower planning and patient management strategy was left.
New study
Recently, the fragrance cohort analysis General Internal Medicine Journal We examined the relationship between the Veterans’ Health Department (VHA) and the clinical productivity. that paper I explored how the term of office affected the physician’s productivity (eg, the number of meetings of patients per clinic). We also compared the trend of productivity between the internal hired doctors (who lived or fellowship in VHA) and external employed doctors.
methods
The researchers have collected detailed data on doctors’ employment characteristics, expertise and monthly patients using VHA’s company data warehouse. The data was analyzed from 34,878 people in 27 specialty fields dealing with more than 1.5 million doctors’ outpatients meeting between October 1, 2017 and August 1, 2017. Using the statistical model, we tested the difference in productivity over time and tested the results of the results by adjusting factors such as professionalism, facilities and time effects and sensitivity analysis. This analysis has been carried out for both total samples, such as 27 specialty and four professional sub -groups. In other words, frying pans nursing, psychiatric, large -scale medical specialty and large -scale surgeon.
Main result
The newly hired doctor had less than 1.72 clinic meetings compared to the experienced colleagues who worked for more than two years in the VHA. However, this productivity gap has decreased over time, and new employees are 0.44 million per day by 8Q. Among the special sub -groups, new employees of medical and surgeons have reached the same productivity as skilled employees until the eighth quarter. In addition, doctors who have been resident or communicated within the VHA have higher initial productivity, especially in the field of primary care and large -scale surgical specialties, and have a faster adjustment of full productivity than externally hired.
conclusion
These results suggest that newly employed doctors were initially productive, but they could experience significant improvements in the first two years. In addition, those who have previously received VHA trains adapt to the potential advantage of internal education programs. Such insights are important for health care systems that assess the effects of long -term costs and access to doctors and on boarding. Understanding these epidemiology can help you develop a strategy to support new doctors, optimize educational programs, and ultimately improve patient treatment within VHA and similar health care environments.
PEPREC is a team of health economists, public health researchers and policy analysts who support VA efforts to improve the lives of Veterans by using advanced quantum methods that are mostly funded by QUERI in the Veterans Health Bureau.
