肿瘤内科医生短缺：澳大利亚肿瘤内科医生劳动力研究。

The shortage of medical oncologists: the Australian Medical Oncologist Workforce Study.

机构信息

Medical Oncology, Concord Repatriation General Hospital, Sydney, NSW.

出版信息

Med J Aust. 2012 Jan 16;196(1):58-61. doi: 10.5694/mja11.10363.

DOI:10.5694/mja11.10363

PMID:22256937

Abstract

OBJECTIVE

To determine current and projected supply, demand and shortfall of medical oncologists (MOs) and the Australian chemotherapy utilisation rate.

DESIGN, SETTING AND PARTICIPANTS: A 2009 cross-sectional observational study of Australian adult medical oncology practice work patterns.

INSTRUMENT

Electronic or paper self-administered questionnaire.

MAIN OUTCOME MEASURES

The 2009 and projected (2014) supply, demand and shortfall of full-time equivalent (FTE) MOs, and the chemotherapy utilisation rate.

RESULTS

476 medical oncology positions comprising 234 FTE MOs were identified. Of the 150 medical oncology practices, 117 (78%) were in metropolitan locations and 33 (22%) were in rural locations. The average number of new patients seen per FTE MO was 270 patients (ranging by state from 191 to 343). The demand for FTE MOs was estimated at 326 to 391 in 2009 and 361 to 432 in 2014. The shortfall of FTE MOs was estimated at 92 to 157 in 2009 and 84 to 156 in 2014. The chemotherapy utilisation rate was 19%.

CONCLUSIONS

The current shortage of MOs is expected to persist in the future. National strategies are needed to increase the capacity of the medical oncology workforce and the chemotherapy utilisation rate.

摘要

目的

确定目前和预计的医学肿瘤学家（MO）供应、需求和短缺情况以及澳大利亚化疗使用率。

设计、设置和参与者：对澳大利亚成人肿瘤医学实践工作模式的 2009 年横断面观察性研究。

仪器

电子或纸质自我管理问卷。

主要观察指标

2009 年和预计（2014 年）全职等效（FTE）MO 的供应、需求和短缺情况，以及化疗使用率。

结果

确定了 476 个医学肿瘤学职位，包括 234 个 FTE MO。在 150 个肿瘤医学实践中，117 个（78%）位于大都市地区，33 个（22%）位于农村地区。每位 FTE MO 治疗的新患者平均人数为 270 例（按州划分，范围为 191 至 343 例）。预计 2009 年 FTE MO 的需求为 326 至 391 个，2014 年为 361 至 432 个。预计 2009 年 FTE MO 的短缺为 92 至 157 个，2014 年为 84 至 156 个。化疗使用率为 19%。