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Abstract：
The case for a more diverse health-care workforce has never been stronger given the rapidly changing demographics of the United States and the continued underrepresentation of certain racial and ethnic groups across the health professions. To date, progress toward diversifying the health-care workforce has been and continues to be deterred by a mix of factors at the societal, institutional, and individual levels. Since the 1970s, the Federal government has invested resources in initiatives that support the training and development of the existing workforce as well increase the supply of new health professionals-particularly those from underrepresented minority groups and/or from disadvantaged backgrounds. However, limited studies have been published detailing the processes, outputs and, where available, outcomes of such investments across multiple years. This article describes how the Health Resources and Services Administration\'s Bureau of Health Workforce used retrospective case study methodology to evaluate processes and outputs associated with the Scholarships for Disadvantaged Students program-an over US$40 million annual Federal investment aimed at offsetting tuition costs for health professions students from disadvantaged backgrounds-over a 5-year period. Lessons learned and recommendations for strengthening the program\'s design and requirements are provided.
摘要：
鉴于美国人口结构的迅速变化以及整个卫生行业中某些种族和族裔群体的代表性持续不足，建立更多样化的医疗保健劳动力的理由从未如此强烈。迄今为止,医疗保健劳动力多样化的进展已经并将继续受到社会因素的影响，机构,和个人水平。自1970年代以来,联邦政府已投入资源支持现有劳动力的培训和发展，并增加新的卫生专业人员的供应，特别是来自代表性不足的少数群体和/或处境不利的背景。然而,已经发表了有限的研究，详细介绍了这些过程，输出和，如果可用，这种投资跨越多年的结果。本文介绍了卫生资源和服务管理局的卫生劳动力局如何使用回顾性案例研究方法来评估与弱势学生奖学金计划相关的过程和产出，这是一项每年超过4000万美元的联邦投资，旨在抵消来自弱势背景的卫生专业学生在5年内的学费。提供了经验教训和加强计划设计和要求的建议。
