American Society of Clinical Oncology, Alexandria, VA; Beth Israel Deaconess Medical Center, Boston, MA; Memorial Sloan-Kettering Cancer Center, New York, NY; and Scripps Clinic, La Jolla, CA.
J Oncol Pract. 2014 Jan;10(1):32-8. doi: 10.1200/JOP.2013.001311.
The American Society of Clinical Oncology (ASCO) 2007 workforce report projected US oncologist shortages by 2020. Intervening years have witnessed shifting trends in both supply and demand, demonstrating the need to capture data in a dynamic manner. The ASCO Workforce Information System (WIS) provides an infrastructure to update annually emerging characteristics of US oncologists (medical oncologists, hematologist/oncologists, and hematologists).
Several possible data sources exist to capture the number of oncologists in the United States. The WIS primarily uses the American Medical Association Physician Masterfile database because it provides detailed demographics. This analysis also compares total counts of oncologists from American Board of Internal Medicine (ABIM) certification reports, the National Provider Identifier (NPI) database, and Medicare Physician Compare data. The analysis also examines geographic distribution of oncologists by age and US population data.
For each of the data sources, we pulled 2013 data. The Masterfile identified 13,409 oncologists. ABIM reported 13,757 oncologists. NPI listed 11,664 oncologists. Physician Compare identified 11,343 oncologists. Mapping of these data identifies distinct areas (primarily in central United States, Alaska, and Hawaii) that seem to lack ready access to oncologists.
Efforts to survey oncologists about practice patterns will help determine if productivity and service delivery will change significantly. ASCO is committed to tracking oncologist supply and demand, as well as to providing timely analysis of strategies that will help address any shortages that may occur in specific regions or practice settings.
美国临床肿瘤学会（ASCO）2007 年劳动力报告预测，到 2020 年美国肿瘤学家将出现短缺。过去几年，供应和需求都出现了变化趋势，这表明需要以动态的方式捕捉数据。ASCO 劳动力信息系统（WIS）提供了一个基础设施，每年更新美国肿瘤学家（肿瘤内科医生、血液科肿瘤学家和血液学家）的新兴特征。
有几种可能的数据来源可以用来捕捉美国的肿瘤学家数量。WIS 主要使用美国医学协会医师主文件数据库，因为它提供了详细的人口统计学信息。这项分析还比较了美国内科医师学会认证报告、国家提供者标识符（NPI）数据库和 Medicare 医师比较数据中肿瘤学家的总数。分析还检查了肿瘤学家的地理分布与年龄和美国人口数据的关系。
对于每个数据源，我们都提取了 2013 年的数据。主文件确定了 13409 名肿瘤学家。ABIM 报告了 13757 名肿瘤学家。NPI 列出了 11664 名肿瘤学家。医师比较确定了 11343 名肿瘤学家。这些数据的映射确定了一些明显的地区（主要在美国中部、阿拉斯加和夏威夷）似乎无法方便地获得肿瘤学家的服务。
调查肿瘤学家关于实践模式的工作将有助于确定生产力和服务交付是否会发生重大变化。ASCO 致力于跟踪肿瘤学家的供应和需求，并及时分析有助于解决特定地区或实践环境中可能出现的任何短缺的策略。
