Determinants of the delegation of healthcare aboard ships with women assigned.
The purpose of this study was to identify the potential determinants and distribution of shipboard patient delegation decisions. During a 1-month period, physicians aboard five U.S. Navy ships with women assigned estimated the minimum numbers of healthcare providers needed to diagnose and treat each patient (N = 2,725). Results indicated the following distribution of potential patient assignment: consultation 1.4%, medical officer 18.6%, physician assistant/nurse practitioner 8.7%, corpsman with additional OB/GYN training 2.2%, and corpsman 69.2%. Diagnosis was the best predictor of the indicated level of healthcare required. The patient's sex and pay grade were unrelated to the potential levels of care provided.
Nice
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Naval Health Research Center, San Diego, CA 92138-9174.
Hilton
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D000488:Allied Health Personnel / Q000706:statistics & numerical data*; D003695:Delivery of Health Care / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D009326:Naval Medicine / Q000458:organization & administration*; D012767:Ships; D014481:United States