Pronovost P J, Waters H, Dorman T
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Curr Opin Crit Care. 2001 Dec;7(6):456-9. doi: 10.1097/00075198-200112000-00015.
The Society for Critical Care Medicine has advocated for intensivist lead multi-disciplinary critical care for our 30 years; growing evidence supports their assertion. It is estimated that if intensive care unit (ICU) physician staffing (IPS) was implemented in non-rural United States hospitals, 53,000 lives and $5.4 billion would be saved annually. Despite the benefits of hiring physicians specialized in the treatment of critically ill patients, many hospitals worry about their ability to hire critical care physicians to staff their ICUs. In this essay, we discuss issues regarding the future supply of and demand for critical care physicians beginning with an overview of how to evaluate physician supply and demand in general. We then discuss supply and demand for critical care physicians considering emerging issues such as the Leapfrog standard that may impact estimates of the supply and demand for critical care physicians.
30年来,危重病医学学会一直倡导由重症监护医生主导的多学科重症监护;越来越多的证据支持了他们的观点。据估计,如果在美国非农村医院实施重症监护病房(ICU)医生配备(IPS),每年可挽救53000人的生命,并节省54亿美元。尽管雇佣专门治疗重症患者的医生有诸多益处,但许多医院仍担心自己是否有能力雇佣重症监护医生来配备其ICU。在本文中,我们从总体上概述如何评估医生供需情况开始,讨论重症监护医生未来的供需问题。然后,我们结合诸如“跳蛙”标准等可能影响重症监护医生供需估计的新出现问题,讨论重症监护医生的供需情况。