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加拿大大西洋地区的耳鼻喉科学:从业者的观点

Otolaryngology in Atlantic Canada: practitioners' perspectives.

作者信息

Pelausa E O

机构信息

Bayside Medical Plaza, Virginia Beach, VA 23455, USA.

出版信息

J Otolaryngol. 1999 Feb;28(1):31-6.

PMID:10077781
Abstract

OBJECTIVE

A survey was conducted to assess practice conditions in Atlantic Canada for 1996.

METHOD

Otolaryngologists in Nova Scotia, New Brunswick, Prince Edward Island, and Newfoundland/Labrador with at least 1 year of practice experience in the area were canvassed regarding general work concerns, office and OR waiting lists, income, support services, job satisfaction, future plans and personal recommendations for improvement. Nineteen of 40 surveyed responded (47.5%).

RESULTS

The results revealed that Atlantic Canadians had to wait considerably longer than average Canadians for ENT services. This was particularly true for Nova Scotians who had to wait often more than double the national average. Forty-seven and a half percent of practitioners were dissatisfied with the practice climate, with many merely trying to maintain status quo. Increasing government constraints and budget cuts have led to practice protectionism and the loss of collegiality. There is little optimism for the future, with 42% predicting continued deterioration in the next 5 years. As a result, up to 58% are considering relocating elsewhere.

CONCLUSION

Despite diminishing returns, these specialists continue to provide the best possible care for their patient patients--hoping for a better tomorrow.

摘要

目的

开展一项调查以评估1996年加拿大大西洋地区的执业状况。

方法

对新斯科舍省、新不伦瑞克省、爱德华王子岛省以及纽芬兰和拉布拉多省中在该领域至少有1年执业经验的耳鼻喉科医生进行了全面调查,内容涉及一般工作问题、办公室和手术室等候名单、收入、支持服务、工作满意度、未来计划以及关于改进的个人建议。40名被调查者中有19人回复(47.5%)。

结果

结果显示,加拿大大西洋地区的居民在耳鼻喉科服务方面的等待时间比加拿大平均水平长得多。新斯科舍省居民尤其如此,他们的等待时间常常超过全国平均水平的两倍。47.5%的从业者对执业环境不满意,许多人只是试图维持现状。政府限制措施增多和预算削减导致了执业保护主义以及同行情谊的丧失。对未来几乎没有乐观情绪,42%的人预计未来5年情况会持续恶化。因此,高达58%的人正在考虑迁往其他地方。

结论

尽管回报递减,但这些专科医生继续为他们的患者提供尽可能最好的治疗——期待着更美好的明天。

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