Surgical workforce: the case for change.
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In many areas healthcare education has failed to keep pace with changing needs for new skills and characteristics. The Project on the Future of Allied Health solicited a number of white papers detailing characteristics, competencies and attitudes that will be required of allied health workers in 2005. Two concepts from those white papers pertain especially to radiology: (1) the knowledge burden of today's health professional is quickly approaching overload and (2) manufacturers of healthcare equipment and technology must bear some responsibility for the problems and solutions. Some large employers have determined that allied health education is not providing appropriate training and have initiated their own programs. New models of allied health education and practice already exist around the country. It is no longer "if" but "how" we can make progress toward change. The impetus and funding for new programs probably will not come from the government; leaders in the industry must implement changes in education and staff development. Radiology administrators and professional associations must play a role in redesigning programs for allied health training.
Culturally sensitive health care professionals will have a distinct advantage in the 21st century. As the United States continues to grow as a multicultural society, practitioners will require access to cultural diversity training tailored to the needs of health care providers. The American Occupational Therapy Association offers an array of such educational resources through its Multicultural Affairs Program.
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Shortage of nurses is a long-standing problem which was the subject of official inquiries long before the launch of the NHS. There has been persistent inertia about acting on the recommendations of these reports. Despite a continuing increase in activity rates, the number of nurses in the NHS has remained largely static for a decade. Another 5,000 will be needed by 2015. The UK should use its capacity for centralised planning to tackle the issue.
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A combination of structural features on both the supply and demand side make the labour market for certain health professionals relatively unique. These features are outlined and the occupations identified. The adjustment mechanism in the market for these occupations is considered to be highly responsive to these features; a simple model is outlined. Finally the model is brought to bear on the possible responses to two aspects of the WA market, firstly the perceived 'shortage' of registered nurses and secondly the longer term relationship of supply and demand in an industry with rapidly growing labour supply.
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The Commission based its deliberations on four sources of data: The experiences of Commission members. The published literature. Focus groups from rural and urban sectors across the United States. Survey data from health care bellwether cities.