Mitsunaga Myles M, Cifu David X, Akau Cedric K, Okamoto Gary A, Withy Kelley, Chen Joseph J, Lew Henry L
John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
Hawaii J Med Public Health. 2012 Apr;71(4 Suppl 1):40-4.
Although the State of Hawai'i overall may have an adequate number of physiatrists, there are physiatrist shortages on the neighbor islands. This study describes the demographics, practice type, and most important concerns of current practicing physiatrists within the state of Hawai'i.
A phone survey was conducted of 44 actively practicing Hawai'i physiatrists. Eligible participants were members of either the American Academy of Physical Medicine and Rehabilitation (AAPMR) or the Hawai'i Society of Physical Medicine and Rehabilitation.
Thirty-six of 44 local physiatrists responded to the survey. Thirty-two of the thirty-six (89%) respondents were currently practicing on O'ahu, nine (25% of respondents) completed medical school at University of Hawai'i, 19 (58% of respondents) were not planning on recruiting in their practice for at least five years and the physiatrists' most common concerns included poor reimbursement, practice management problems, and high workload.
Further recruitment efforts should be tailored to attracting physiatrists to our neighbor islands. Increasing reimbursement, addressing hospital administration issues, developing a musculoskeletal fellowship program, and increasing incentives to practice on neighbor islands are proposed changes that would directly address the concerns of Hawai'i's physiatrists.
尽管夏威夷州总体上可能有足够数量的物理医学与康复医师，但外岛存在物理医学与康复医师短缺的情况。本研究描述了夏威夷州目前执业的物理医学与康复医师的人口统计学特征、执业类型以及最重要的担忧。
对44名积极执业的夏威夷物理医学与康复医师进行了电话调查。符合条件的参与者是美国物理医学与康复学会（AAPMR）或夏威夷物理医学与康复学会的成员。
44名当地物理医学与康复医师中有36名回复了调查。36名受访者中有32名（89%）目前在瓦胡岛执业，9名（占受访者的25%）在夏威夷大学完成医学院学业，19名（占受访者的58%）至少五年内不打算在其诊所招聘，物理医学与康复医师最常见的担忧包括报销不足、执业管理问题和工作量大。
应调整进一步的招聘工作，以吸引物理医学与康复医师前往我们的外岛。增加报销、解决医院管理问题、制定肌肉骨骼专科培训计划以及增加在外岛执业的激励措施，这些提议的改变将直接解决夏威夷物理医学与康复医师的担忧。
