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研究报告称:美国面临缺乏麻醉学家
http://www.100md.com 2001年10月22日 好医生
     NEW YORK, Oct 18 (Reuters Health) - There is a shortage of anesthesiologists in the US that will continue for years unless more people are attracted to the field, according to a report in the October issue of the Mayo Clinic Proceedings.

    "It appears now that, in addition to focusing on the financial resources needed to support the healthcare needs of an aging population, national health policymakers need to re-examine whether the number of healthcare professionals is sufficient to care for the elderly, in particular when they require surgery, are afflicted by painful conditions, or become critically ill," Dr. Armin Schubert from the Cleveland Clinic Foundation said in a clinic statement.
, 百拇医药
    Schubert and colleagues used data from federal agencies, the American Medical Association and the American Society of Anesthesiologists to estimate the supply of anesthesiologists in 2001 and beyond.

    Based on the growth of the need for anesthesia since 1994, there is currently a shortage of anesthesiologists that ranges from 1,200 to 3,800, the investigators determined. They calculated that by 2005, assuming continued growth, the shortage will increase to between 1,000 and 4,500 anesthesiologists.
, 百拇医药
    However, by 2010 the shortage may disappear or be reduced to a shortfall of 1,000 anesthesiologists, assuming that the number of residency positions increases by 15% per year until 2006, Schubert's team notes.

    The researchers believe that to address the shortage, almost 60% more anesthesiologists will need to be trained by 2005 than were graduated in 2000, and almost 100% more will need to be trained by 2010.

    The need to increase the number of anesthesiologists suggests that training programs should admit more graduates of foreign medical schools, according to the authors. They add that the Medicare fee structure needs to be modified to allow anesthesiologists to earn more, in order to attract people to the field.
, 百拇医药
    In an accompanying editorial, Dr. Ronald D. Miller from the University of California, San Francisco and Dr. William L. Lanier, editor-in-chief of the journal, note that the shortfall of anesthesiologists results from policies in the 1990s that encouraged a return to general practice.

    "It can happen in other specialties as well," Miller and Lanier note. "Ultimately, the erosion of any important component specialty will do harm to the future intellectual and service missions of medicine and, unfortunately, the patients we serve."

    SOURCE: Mayo Clinic Proceedings 2001;76:969-970, 995-1010., 百拇医药