Ganz R A
Minnesota Gastroenterology and the Department of Gastroenterology, Abbott-Northwestern Hospital, Minneapolis 55404, USA.
J Clin Gastroenterol. 1999 Mar;28(2):117-24. doi: 10.1097/00004836-199903000-00007.
Specialty practice in general, and gastroenterology in particular, is undergoing significant transformation as we head into the new millennium. Gastroenterologists will need to adapt to the continued evolution and consolidation of managed care. Among other issues, gastroenterologists will need strategies for dealing with pricing pressures, changing technology, increased consumerism, a perceived specialist oversupply, and a rapidly aging population. These and other developments will drive a myriad of physician responses in an effort to confront changing practice realities.
总体而言，专科医疗实践，尤其是胃肠病学，在我们迈向新千年之际正经历重大变革。胃肠病学家将需要适应管理式医疗的持续演变和整合。在其他诸多问题中，胃肠病学家将需要应对定价压力、技术变革、消费主义抬头、专科医生供应过剩的认知以及人口迅速老龄化等问题的策略。这些及其他发展将促使医生做出无数反应，以应对不断变化的医疗实践现实。
