Meghea Cristian I, Sunshine Jonathan H
Research Department, American College of Radiology, 1891 Preston White Dr, Reston, VA 20191, USA.
Radiology. 2005 Sep;236(3):932-8. doi: 10.1148/radiol.2363041885. Epub 2005 Jul 14.
To use weighted data and information on hours worked to investigate further the market for radiology services by analyzing the extent to which radiologists wanted less or more work in 2003.
Weighted data were used from the American College of Radiology's 2003 Survey of Radiologists. A statement on the survey cover sheet indicated that responses would not be individually identified, and responses were processed by an outside contractor for enhanced assurance of confidentiality. The authors analyzed workloads and the desired workload changes for radiologists who wanted less work, those who wanted more work, and those who sought no change in their workload. Multivariate regression analysis was also used to identify the probable causal links between characteristics of radiologists and the practices they work in and their desire for a workload change.
The net average workload change sought was approximately 0.1% of the current workload and was not significantly different from zero, indicating that the overall total workload is what is desired. However, radiologists working in academic or government practices sought 4% and 12% more work, respectively, while those in private practices sought 2% less. In addition, radiologists working in nonmetropolitan practices sought 3% less work than those in large metropolitan areas.
There was an overall balance between the demand and the supply of radiologists in 2003. The authors found some imbalances, including surpluses in academic and government-owned practices, a shortage of radiologists in private radiology groups, and a shortage in nonmetropolitan areas. There were differences in radiologists' desired workload by sex, age, and type and location of practice.
通过分析放射科医生在2003年希望减少或增加工作量的程度,利用加权数据和工作时长信息进一步研究放射科服务市场。
使用美国放射学会2003年放射科医生调查的加权数据。调查问卷封面声明表示不会对回复进行个别识别,回复由外部承包商处理以增强保密性。作者分析了希望减少工作量、希望增加工作量以及希望工作量不变的放射科医生的工作量及期望的工作量变化。还使用多变量回归分析来确定放射科医生及其工作机构的特征与他们对工作量变化的期望之间可能的因果关系。
所寻求的净平均工作量变化约为当前工作量的0.1%,且与零无显著差异,表明总体总工作量是期望的。然而,在学术或政府机构工作的放射科医生分别寻求增加4%和12%的工作量,而在私人机构工作的放射科医生则寻求减少2%的工作量。此外,在非大都市地区工作的放射科医生比在大型都市地区工作的放射科医生寻求减少3%的工作量。
2003年放射科医生的供需总体平衡。作者发现了一些不平衡情况,包括学术和政府机构人员过剩、私人放射科集团放射科医生短缺以及非大都市地区短缺。放射科医生期望的工作量在性别、年龄、执业类型和地点方面存在差异。