The impact of new health professionals.
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Biomedical subjects
Publications and source records attributed to A S Golden.
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A systems analysis approach was applied to a study of health provider jobs in a health maintenance organization to develop a proposal for an improved staffing pattern and an appropriate training curriculum for the provider. Physicians reported performing 512 ambulatory care tasks; health associates, 372; and health assistants, 284. Overlap was found among each group, especially in data-gathering tasks. This led to reallocation of tasks, with the most complex but smallest number assigned to the physician, and the least complex but highest number assigned to the assistant. In turn, a staffing pattern was suggested whereby a team of two physicians, four associates, and eight assistants would be able to manage the visits of 10,000 patients.
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Job analysis and tast analysis are systems methods which examine the functions of individuals and allocate these functions into job descriptions which can make for a better utilization of health manpower by a restructuring of the jobs of health professionals and a restructuring of curricula as a reflection of the jobs to be performed. These analytic methods have had limited application to the health field. This methodology was applied to the education of a nonphysician family health team for an inner-city prepaid comprehensive health center and staff development at a health maintenance organization, and has served as the basis for the curriculum of an associate degree physician's assistant program and a baccalaureate degree health associate program. Among the advantages for the application of this method are the interrelationship of resulting jobs rather than isolation and career mobility in both the work situation and curricula. Constraints include the lack of entry level jobs, the prestige of the Bachelor's Degree, the need for proficiency tests for advanced standing, tuition costs, and the traditional attitudes of health agencies on release time and educational institutions on basic requirements.
Individuals are now being trained to function at varying levels of expertise as primary care practitioners, and the selection of a new health practitioner appropriate to the physician's individual practice can prove to be an asset professionally, personally, and economically.
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