The Vanderbilt Orthopaedic Institute Center for Health Policy, Vanderbilt University, Suite 4200, South Tower, MCE, Nashville, TN 37221, USA.
Clin Orthop Relat Res. 2013 Jun;471(6):1873-8. doi: 10.1007/s11999-013-2900-3.
The future direction of American health care has become increasingly controversial during the last decade. As healthcare costs, quality, and delivery have come under intense scrutiny, physicians play evolving roles as "advocates" for both their profession and patients via healthcare policy. Hospital-physician alignment is critical to the future success of advocacy among orthopaedic surgeons, as both hospitals and physicians are key stakeholders in health care and can work together to influence major health policy decisions.
QUESTIONS/PURPOSES: We (1) define the role of advocacy in medicine, specifically within orthopaedic surgery; (2) explore the history of physician advocacy and its evolution; (3) examine the various avenues of involvement for orthopaedic surgeons interested in advocacy; and (4) reflect on the impact of such activities on the future of orthopaedic surgery as it relates to hospital-physician alignment.
We performed a comprehensive review of the literature through a bibliographic search of MEDLINE(®) and Google Scholar databases from January 2000 to December 2010 to identify articles related to advocacy and orthopaedic surgery.
Advocacy among orthopaedic surgeons is critical in guiding the future of the American healthcare system. In today's world, advocacy necessitates a wider effort to improve healthcare access, quality, and delivery for patients on a larger scale. The nature of physician advocacy among orthopaedic surgeons is grounded in the desire to serve patients and alleviate their suffering. Participation in medical societies and political campaigns are two avenues of involvement.
The increasing role of government in American health care will require a renewed commitment to advocacy efforts from orthopaedic surgeons. The role of advocacy is rapidly redefining the continuum of care to a trinity of clinical excellence, innovative research, and effective advocacy. Failure to recognize this growing role of advocacy limits the impact we can have for our patients.
在过去十年中，美国医疗保健的未来方向变得越来越有争议。随着医疗保健成本、质量和提供方式受到严格审查，医生通过医疗政策扮演着为他们的专业和患者“辩护”的不断发展的角色。医院-医生的一致性对于骨科医生倡导工作的未来成功至关重要，因为医院和医生是医疗保健的主要利益相关者，可以共同努力影响重大的医疗政策决策。
问题/目的：我们 (1) 定义了医学中的倡导作用，特别是在骨科手术中；(2) 探讨了医生倡导的历史及其演变；(3) 研究了对倡导感兴趣的骨科医生参与的各种途径；(4) 反思了此类活动对与医院-医生一致性相关的骨科手术未来的影响。
我们通过对 MEDLINE®和 Google Scholar 数据库进行文献检索，对 2000 年 1 月至 2010 年 12 月的相关文章进行了全面的文献综述，以确定与倡导和骨科手术相关的文章。
骨科医生的倡导对于指导美国医疗保健系统的未来至关重要。在当今世界，倡导需要更大的努力来改善患者的医疗保健机会、质量和提供。骨科医生的医生倡导的性质源于为患者服务和减轻他们痛苦的愿望。参与医学协会和政治运动是两种参与途径。
政府在美国医疗保健中的作用不断增加，这将要求骨科医生重新致力于倡导工作。倡导的作用正在迅速重新定义临床卓越、创新研究和有效倡导的医疗保健连续性。如果不认识到倡导作用的这种增长，我们将限制为患者带来的影响。
