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zoom RSS 拡大する医療に必要な人材の需要/米国医療事情

<<   作成日時 : 2009/08/26 00:31   >>

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 医療費増加が経済の重荷となっているが、雇用の大きな受け皿である。
画像 何年にもわたり中年の労働者などが医療へ仕事場を移してきていたが、景気後退となりその魅力は一層強くなった。数百万人の米国人が解雇される中で、病院は400万人以上を雇用しており、昨年は135,000人増加し、今年上半期は19,400人以上増加した。医療における有能な指導者への需要は増加する一方である。その需要全てがすでに医療で働いている人により充填できわけはないしそうすべきでもない。
 24年間デュポンでマネジャーとして働いていたペンシルベニアのガスリー・クリニックの人的資源部上級副部長Frank Pinkowskyは、他で働いて学んだことの価値を過小評価しないことだと言う。
 ホプキンズ校には公衆衛生3年修士コースもあり最大の病院管理プログラムを設置している。The American College of Healthcare Executives、The Association of University Programs in Health Administrationなどでも研修コースの案内がされている。
 北カリフォルニアで45,000人を雇用する病院チェーンSutter Healthは人事部副部長をスーパーマーケット産業からリクルートした。年に20-30人の管理職を雇っていると言う。
 オバマ政権による今後10年で190億ドルの電子カルテ促進策は、また別の莫大な機会を開くものである。約4-16万人の健康管理情報専門家が必要となる。
 医療情報管理システム学会Healthcare Information and Management Systems Society Himssはテクノロジー技術者が医療産業へ移るためのオンライン・コース eLearning Academyを開設している。
 カリフォルニア大バークレーの健康管理プログラムの卒業生は「平均10万ドルの給料」で雇われるという。共同修士号の取得コース授業料はは2007年以来3倍となり、カリフォルニア住民で35,893ドル、州外学生は45,093である。
 医療制度改革によりどう影響を受けるかは誰にもわからないが、雇用の凍結や管理業務の絞り込みでコストを切り詰める圧力がかかる可能性がある。しかし、医療労働者需要への強力な圧力がかかっており、新たな病気への治療法開発や引き続く科学技術の発展も成長要因となっている。
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For Outsiders, Opening Doors to Health Care
Jay Paul for The New York Times
http://www.nytimes.com/2009/08/20/education/20HEALTH.html
By MILT FREUDENHEIM
Published: August 19, 2009

A NEW ARENA Colin Ford, director of corporate strategy at the Greater Baltimore Medical Center, chats with Eileen Shearer, a nurse. A former ESPN producer, Mr. Ford took graduate courses in public health before changing fields.

Health care may be a costly drag on the economy, but it’s still a great place to find a job.

Midcareer managers and other workers have been migrating to health care jobs for years, of course. Now, with the recession, the lure is even stronger. Hospitals, which employ more than four million people, added 135,000 jobs last year and 19,400 more in the first half of 2009, even as millions of American workers wound up unemployed.

“The demand for talented leaders in health care is only going to go up,” predicted Jane Groves, a senior vice president at Integrated Healthcare Strategies, an executive search and consulting firm in Kansas City, Mo. “All that demand can’t and shouldn’t be filled by people already working in health care.”

Frank Pinkowsky worked as a manager at DuPont for 24 years before taking a position as senior vice president for human resources at the Guthrie Clinic in Sayre, Pa. “Don’t underestimate the value of what you learned working for someone else,” he advised.

Colin Ward, a 37-year-old Baltimore hospital executive, also successfully switched careers, leaving ESPN after eight years of producing sports broadcasts. “I felt like I wanted to be contributing in some other way,” he said.

After 11 months of graduate classes in the Johns Hopkins Bloomberg School of Public Health and a year as a paid apprentice at a Baltimore hospital, he had a master’s degree in health science and management.

Mr. Ward stayed at the hospital, Lifebridge Health, for three more years and in 2007 moved to his current post at the Greater Baltimore Medical Center in Towson, Md., as director of corporate strategy. Still a big sports fan, he produces Ravens football games for WBAL radio on weekends.

The Hopkins school, which also offers a three-year master’s of public health degree, is the largest of dozens of accredited graduate and undergraduate programs in hospital management. Many managers with experience in fields like human resources, finance and marketing find a welcome in health care, with a little studying up. Online courses, books, journals and professional magazines provide material.

The American College of Healthcare Executives, based in Chicago, offers several online pages of career tips, including a two-year-old salary summary at www.ache.org. The Association of University Programs in Health Administration also lists contact information for many schools at www.aupha.org.

“We just recently recruited a vice president for human resources from the supermarket industry,” said Mike A. Helm, a senior executive at Sutter Health, a hospital chain with 45,000 employees in Northern California. Sutter hires 20 to 30 executives a year.

Health care does, of course, have its own jargon and a host of complex challenges. Managers have to know how to deal with doctors, nurses and professional groups, as well as with regulators.

“There are tons and tons of regulations, and the burden is growing,” said Dr. Steven A. Wartman, president of the Association of Academic Health Centers, a nonprofit group whose members are both research and health sciences universities that include hospitals.

The Obama administration’s $19 billion 10-year campaign to promote electronic medical records opens another huge opportunity, said Dr. Blackford Middleton, a technology research expert at Partners Healthcare in Boston. An estimated 40,000 to 160,000 additional health information professionals could be needed, he said.

Dr. Middleton is helping to develop an executive education course at the nonprofit American Medical Informatics Association and a certificate course at the Harvard School of Public Health. online, and the National Library of Medicine at the National Institutes of Health sponsors some informatics fellowships.

The industry trade association, known as Himss for the Healthcare Information and Management Systems Society, offers an array of online courses that can help technology workers move into health care. Last month, Himss established its eLearning Academy, which, it says, “offers round-the-clock, on-demand access,” allowing students to work at their own pace on subjects like clinician-focused use of information technology, I.T. customer service to the health care user, and health care I.T. strategic planning.

James Platts, 30, chose a more formal academic setting for his training in health care management and completed the joint master’s program in business and public health at the University of California, Berkeley. He now works on health-related projects in the San Francisco office of the Boston Consulting Group.

He came to Berkeley in 2006 from the White House, where he was a junior-level staff member at the National Economic Council for two years. A Harvard graduate in economics, he also put in two years at Nasdaq, studying financial and economic data.

“I thought it would be fun and interesting from a health care perspective to live in California for a few years,” Mr. Platts said, referring to California’s large-scale health care issues and solutions.

Graduates of the Berkeley program are hired at an “average salary somewhat over $100,000,” said Kristi Raube, director of the joint health management program there. Tuition has tripled since 2007, to $35,893 for California residents and $45,093 for out-of-state students pursuing the joint master’s degree.

“Of course, nobody knows what will happen with health reform,” Dr. Wartman noted. One possibility could be pressure to cut costs by freezing hiring and squeezing out management jobs at hospitals and health insurers.

But, he said, “there is a very strong push to cover more people, with a lot of implications for growth in the health care work force.” Other drivers of growth, Dr. Wartman said, include “the continued march of science and technology, as well as uninvited developments such as new diseases.”

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