Choi Moon Soo, van der Mark Michael A, Hung Kevin
General Surgery, Bundaberg Base Hospital, Bundaberg, AUS.
Cureus. 2022 Feb 10;14(2):e22104. doi: 10.7759/cureus.22104. eCollection 2022 Feb.
Colorectal cancer is a common cause of cancer in Australia. Also, patients living in regional and rural areas are diagnosed later and have poorer outcomes compared to their metropolitan counterparts. The purpose of this study is to determine the distribution of the workforce providing colonoscopies for the Australian population.
A cross-sectional observational study of the medical practitioners certified by the conjoint committee for the recognition of training in gastrointestinal endoscopy (CCRTGE) was performed. Data regarding their specialty and principal place of practice was collected. The principal place of practice was stratified with the Modified Monash Model (MMM) of rurality and the local government association's classifications of rural and urban areas.
As of March 2021, there were 2698 medical practitioners listed as being recognised in the field of adult colonoscopies by the CCRTGE. Of these, 2123 were found to still have active specialist registration with the Australian Health Practitioner Regulation Agency (AHPRA). In the capital city Local Government Areas (LGAs), there was an endoscopist every 0.33 km to 62.05 km. In the rural LGAs, there was an endoscopist every 23,382 km to 267,780 km. In metropolitan areas, the most common specialty of the endoscopist was gastroenterology whereas in regional cities and remote towns it was general surgery. In very remote towns, general practitioners provided colonoscopy services.
在澳大利亚，结直肠癌是常见的癌症病因。此外，与大城市的患者相比，生活在地区和农村的患者确诊时间较晚，预后也较差。本研究的目的是确定为澳大利亚人群提供结肠镜检查服务的劳动力分布情况。
对经胃肠内镜检查联合培训认可委员会（CCRTGE）认证的医生进行了一项横断面观察研究。收集了他们的专业和主要执业地点的数据。主要执业地点根据改良的莫纳什农村模型（MMM）和地方政府协会对农村和城市地区的分类进行分层。
截至2021年3月，有2698名医生被CCRTGE认可在成人结肠镜检查领域。其中，2123人被发现仍在澳大利亚卫生从业人员监管局（AHPRA）进行有效的专科注册。在首都城市地方政府区域（LGAs），每0.33公里至62.05公里有一名内镜医师。在农村LGAs，每23382公里至267780公里有一名内镜医师。在大都市地区，内镜医师最常见的专业是胃肠病学，而在区域城市和偏远城镇则是普通外科。在非常偏远的城镇，全科医生提供结肠镜检查服务。
