Miller Phillip
Phillip Miller (
Health Aff (Millwood). 2016 Mar;35(3):407-10. doi: 10.1377/hlthaff.2015.1533.
In this issue of Health Affairs, Lawrence Casalino and coauthors establish that physicians in common specialty practices spend an average of 2.6 hours per week dealing with external quality measures. This gives rise to general questions about the future of the medical profession. To what extent will quality-tracking requirements and similar practice intrusions reshape who physicians are, how many physicians there are, and how they practice? In turn, how will these changes affect patients' access to care? Data derived from the 2014 Survey of America's Physicians: Practice Patterns and Perspectives, conducted by Merritt Hawkins on behalf of the Physicians Foundation, make it clear that physician practice patterns are evolving. Responding to an increasingly intrusive practice environment, physicians report that they will choose a variety of practice models likely to reduce patients' access to care or that they will retire early, which will exacerbate the physician shortage and fundamentally change the nature of the medical profession.
在本期《健康事务》中，劳伦斯·卡萨利诺及其合著者证实，普通专科诊所的医生平均每周花费2.6小时处理外部质量指标。这引发了关于医学职业未来的一些普遍问题。质量跟踪要求及类似的执业干扰将在多大程度上重塑医生的身份、医生数量以及他们的执业方式？反过来，这些变化将如何影响患者获得医疗服务的机会？由梅里特·霍金斯代表医师基金会开展的《2014年美国医生调查：执业模式与观点》所获得的数据表明，医生的执业模式正在演变。面对日益具有侵入性的执业环境，医生们表示，他们将选择各种可能减少患者获得医疗服务机会的执业模式，或者提前退休，这将加剧医生短缺，并从根本上改变医学职业的性质。
