Sustaining the HIV care provider workforce: Medical Monitoring Project HIV Provider Survey, 2013-2014.
Adult
Female
HIV Infections
/ therapy
Health Workforce
/ statistics & numerical data
Humans
Male
Middle Aged
Nurse Practitioners
/ statistics & numerical data
Physician Assistants
/ statistics & numerical data
Physicians
/ statistics & numerical data
Primary Health Care
/ statistics & numerical data
Surveys and Questionnaires
United States
HIV care provider workforce
infectious disease
nurse practitioner
physician
Journal
Health services research
ISSN: 1475-6773
Titre abrégé: Health Serv Res
Pays: United States
ID NLM: 0053006
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
pubmed:
3
7
2019
medline:
28
1
2020
entrez:
3
7
2019
Statut:
ppublish
Résumé
To describe delivery of recommended HIV care and work satisfaction among infectious disease (ID) physicians, non-ID physicians, nurse practitioners (NPs), and physician assistants (PAs). Medical Monitoring Project 2013-2014 HIV Provider Survey. Population-based complex sample survey. We surveyed 2208 HIV care providers at 505 US HIV care facilities and computed weighted percentages of provider characteristics, stratified by provider type. Rao-Scott chi-square tests and logistic regression used to compare characteristics of ID physicians with each other provider type. The adjusted provider response rate was 64 percent. Among US HIV care providers, 45 percent were ID physicians, 35 percent non-ID physicians, 15 percent NPs, and 5 percent PAs. Satisfaction with administrative burden was lowest among non-ID physicians (27 percent). Compared with ID physicians, satisfaction with remuneration was lower among non-ID physicians and higher among NPs (37, 28, and 51 percent, respectively). NPs were more likely than ID physicians to report performing four of six services that are key to providing comprehensive HIV care, but more NPs planned to leave clinical practice within 5 years (19 vs 7 percent). Addressing physician dissatisfaction with remuneration and administrative burden could help prevent a provider shortage. Strengthening the role of NPs may help sustain a high-quality workforce.
Identifiants
pubmed: 31264205
doi: 10.1111/1475-6773.13192
pmc: PMC6736917
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
1065-1074Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States
Organisme : CDC HHS
ID : 0920-0840
Pays : United States
Informations de copyright
© Health Research and Educational Trust.
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