Heinrich D, Löhler J
Deutscher Berufsverband der HNO-Ärzte e.V. (BVHNO), Haart 221, 24539, Neumünster, Deutschland.
Wissenschaftliches Institut für angewandte HNO-Heilkunde (WIAHNO), Bad Bramstedt, Deutschland.
HNO. 2016 Apr;64(4):213-6. doi: 10.1007/s00106-016-0133-y.
All medical specialties are changing permanently, including otorhinolaryngology. Analyzing trends in social changes, medical progress, and political decisions will allow the effects of these on ENT medicine to be at least partially anticipated.
Demographic changes and medical progress lead to an increasing demand for medical treatments. In addition, increasing numbers of female physicians are observed, as are many changes in the lifestyles of young physicians. Medical treatment will develop toward more individualized therapies in the future. ENT surgery will become a more ambulatory medical specialty. Driven by political decisions, digital medicine will become more important. Particular services once provided by physicians will be delegated to non-physician professionals.
The lack of physicians and the progress in medicine require better networking between in- and outpatient services in the future. The potential of such collaborations is currently not completely realized. However, these developments will also increase the cost of health care.
These trends will develop otorhinolaryngology into a conservative and surgical ambulatory care driven medical specialty. Embedded in decentralized networks and cooperations, and supported by IT technologies and specialized non-physician professionals, ENT physicians will work in hospitals as well as in practices on a permanent basis. Nevertheless, the question of funding these changes has yet to be clarified.
所有医学专业都在持续变化，包括耳鼻喉科。分析社会变革、医学进步和政治决策的趋势，将使我们至少能部分预见这些因素对耳鼻喉科医学的影响。
人口结构变化和医学进步导致对医疗治疗的需求不断增加。此外，女性医生的数量在增加，年轻医生的生活方式也有诸多变化。未来，医疗治疗将朝着更个性化的疗法发展。耳鼻喉科手术将成为更偏向门诊的医学专业。在政治决策的推动下，数字医学将变得更加重要。曾经由医生提供的特定服务将被委托给非医生专业人员。
医生短缺和医学进步要求未来门诊和住院服务之间建立更好的网络联系。目前这种合作的潜力尚未完全实现。然而，这些发展也将增加医疗保健成本。
这些趋势将把耳鼻喉科发展成为一个以保守治疗和门诊手术为主导的医学专业。耳鼻喉科医生将长期在医院和诊所工作，融入分散的网络和合作中，并得到信息技术和专业非医生专业人员的支持。尽管如此，这些变革的资金问题仍有待明确。
