University at Albany-State University of New York School of Public Health, Albany, NY, USA.
J Oncol Pract. 2013 Jan;9(1):9-19. doi: 10.1200/JOP.2012.000826.
In response to reports of increasing financial and administrative burdens on oncology practices and a lack of systematic information related to these issues, American Society of Clinical Oncology (ASCO) leadership started an effort to collect key practice-level data from all oncology practices in the United States. The result of the effort is the ASCO National Census of Oncology Practices (Census) launched in June 2012. The initial Census work involved compiling an inventory of oncology practices from existing lists of oncology physicians in the United States. A comprehensive, online data collection instrument was developed, which covered a number of areas, including practice characteristics (staffing configuration, organizational structure, patient mix and volume, types of services offered); organizational, staffing, and service changes over the past 12 months; and an assessment of the likelihood that the practice would experience organizational, staffing, and service changes in the next 12 months. More than 600 practices participated in the Census by providing information. In this article, we present preliminary highlights from the data gathered to date. We found that practice size was related to having experienced practice mergers, hiring additional staff, and increasing staff pay in the past 12 months, that geographic location was related to having experienced hiring additional staff, and that practices in metropolitan areas were more likely to have experienced practice mergers in the past 12 months than those in nonmetropolitan areas. We also found that practice size and geographic location were related to higher likelihoods of anticipating practice mergers, sales, and purchases in the future.
针对肿瘤学实践中财务和行政负担不断增加以及缺乏与这些问题相关的系统信息的报道，美国临床肿瘤学会 (ASCO) 领导层开始努力从美国所有肿瘤学实践中收集关键的实践层面数据。这项工作的成果是 2012 年 6 月推出的 ASCO 全国肿瘤学实践普查 (Census)。最初的普查工作涉及从美国的肿瘤学医生现有名单中编制肿瘤学实践清单。开发了一个综合性的在线数据收集工具，涵盖了许多领域，包括实践特征（人员配置结构、组织结构、患者构成和数量、提供的服务类型）；过去 12 个月的组织、人员配备和服务变化；以及对实践在未来 12 个月内经历组织、人员配备和服务变化的可能性的评估。超过 600 家实践参与了普查，提供了信息。在本文中，我们展示了迄今为止收集的数据的初步要点。我们发现，过去 12 个月中，实践规模与经历过实践合并、增加员工和提高员工薪酬有关，地理位置与增加员工有关，而大都市地区的实践在过去 12 个月中比非大都市地区更有可能经历过实践合并。我们还发现，实践规模和地理位置与未来更有可能预期实践合并、销售和购买有关。
