Ernst C B, Rutkow I M, Cleveland R J, Folse J R, Johnson G, Stanley J C
Henry Ford Hospital, Detroit, MI 48202.
J Vasc Surg. 1987 Dec;6(6):611-21.
The Joint Committee on Vascular Surgical Manpower was established in 1985 by the Society for Vascular Surgery and the North American Chapter of the International Society for Cardiovascular Surgery. It was charged to provide recommendations regarding vascular surgical manpower requirements for the next 15 years. Analysis of National Center for Health Statistics vascular operative rate data and 1690 questionnaire responses from vascular surgeons documented that vascular surgeons performed 235,400 (41%) of the total of 571,000 vascular operations undertaken in 1985. Vascular surgeons performed 87% of 30,000 aortoiliofemoral reconstructions, 77% of 72,000 peripheral vessel bypasses, 75% of 33,000 abdominal aortic aneurysm repairs, 59% of 55,000 angioaccess procedures, and 50% of 107,000 carotid endarterectomies. However, lack of accurate data on caseloads of surgeons who were not vascular specialists precludes precise prediction of manpower requirements for vascular surgery. It is important that surgical leaders and policy makers define the types of vascular surgical procedures that may be undertaken by vascular and other surgeons. Ongoing analyses must include such determinations to establish accurate data for the prediction of future manpower needs for vascular surgery. Furthermore, future manpower studies should be linked to outcome studies to assess not only numbers of surgeons and operations but quality of care as well.
血管外科人力联合委员会于1985年由血管外科学会和国际心血管外科学会北美分会共同成立。其职责是就未来15年的血管外科人力需求提供建议。对国家卫生统计中心的血管手术率数据以及来自血管外科医生的1690份问卷调查回复进行分析后发现，在1985年开展的总计571,000例血管手术中，血管外科医生实施了235,400例（占41%）。血管外科医生实施了30,000例主髂股动脉重建手术中的87%、72,000例周围血管搭桥手术中的77%、33,000例腹主动脉瘤修复手术中的75%、55,000例血管通路手术中的59%以及107,000例颈动脉内膜切除术中的50%。然而，由于缺乏非血管专科医生工作量的准确数据，无法精确预测血管外科的人力需求。外科领域的领导者和政策制定者明确血管外科医生和其他外科医生可能开展的血管外科手术类型非常重要。持续的分析必须纳入此类判定，以便为预测血管外科未来的人力需求建立准确数据。此外，未来的人力研究应与结果研究相关联，不仅要评估外科医生数量和手术量，还要评估医疗质量。
