Mithoefer Center for Rural Surgery, Bassett Healthcare, One Atwell Road, Cooperstown, NY 13326, USA.
Surg Clin North Am. 2009 Dec;89(6):1279-84, vii. doi: 10.1016/j.suc.2009.09.010.
Many rural residents have limited access to surgical care. Although this problem has been ongoing for the past few decades, several factors threaten to exacerbate the situation. The narrowing of general surgery practice, workforce shortages and inappropriate distribution of surgeons, changes in how surgeons are trained, and increasing health care costs contribute to the problem. Creative approaches to address these issues are needed to provide high-quality surgical services to the approximately 50 million Americans living in rural communities.
许多农村居民获得外科护理的机会有限。尽管这个问题在过去几十年中一直存在，但有几个因素可能会使情况恶化。普通外科手术实践的缩小、劳动力短缺以及外科医生分布不当、外科医生培训方式的改变以及医疗保健成本的增加都导致了这个问题。需要创造性的方法来解决这些问题，以为生活在农村社区的大约 5000 万美国人提供高质量的外科服务。
