Cronin Kevin J, Calcei Jacob G, Port Joshua, Wright Melissa A, Hll Brian W, Reynolds Alan W, Sabesan Vani J, Abboud Joseph A, Bushnell Brandon D, Franke Mark A, Schlegel Theodore F
Florida Orthopaedic Institute, Tampa, FL, USA.
University Hospitals of Cleveland, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
J Shoulder Elbow Surg. 2025 Jan;34(1):337-343. doi: 10.1016/j.jse.2024.05.030. Epub 2024 Jul 14.
Physician involvement in political advocacy has become increasingly important in recent years. This study aims to explore the types of involvement and barriers to involvement in political advocacy among American Shoulder and Elbow Surgeons (ASES) members, identify issues considered most important by ASES members, and assess demographic factors that might correlate with involvement in political advocacy efforts among ASES members.
This survey was conducted by the ASES Political Advocacy Committee over a 2-week period in June 2021. The survey collected demographic information including sex, ethnicity, years in practice, practice type, political affiliation, and level of current involvement in political advocacy. Additional questions consisted of thoughts regarding current health care policy issues and the role of the American Academy of Orthopaedic Surgeons/ASES regarding such policy issues.
We received 297 responses for a total response rate of 27%. Of those who responded, 24.6% identified as Democrat, 33% identified as Republican, and 42.4% identified as Independent. There was no difference in political affiliation between membership groups. Physician Reimbursement (82%), Medical Liability Reform (50%), and Physician Ownership (50%) were the most important issues identified among respondents. Physician Ownership, Physician Reimbursement and Graduate Medical Education and Student Loan Reform were most important to those in early practice, while Quality and Research was most important to those with greater than 25 years of practice experience.
There is strong agreement among surgeons regarding the most important political advocacy issues. The efforts of the American Academy of Orthopaedic Surgeons and ASES should focus on these areas. Additionally, the vast majority of respondents felt that advocacy efforts had a positive impact on patients and surgeons.
近年来，医生参与政治宣传变得越来越重要。本研究旨在探讨美国肩肘外科医师学会（ASES）成员参与政治宣传的类型和参与障碍，确定ASES成员认为最重要的问题，并评估可能与ASES成员参与政治宣传工作相关的人口统计学因素。
本调查由ASES政治宣传委员会于2021年6月进行，为期两周。该调查收集了人口统计学信息，包括性别、种族、从业年限、执业类型、政治派别以及当前参与政治宣传的程度。其他问题包括对当前医疗保健政策问题的看法以及美国骨科医师学会/ASES在这些政策问题上的作用。
我们共收到297份回复，总回复率为27%。在回复者中，24.6% 为民主党人，33% 为共和党人，42.4% 为无党派人士。会员群体之间的政治派别没有差异。医生报销（82%）、医疗责任改革（50%）和医生所有制（50%）是受访者中确定的最重要问题。医生所有制、医生报销以及毕业后医学教育和学生贷款改革对早期从业者最为重要，而质量和研究对从业经验超过25年的人最为重要。
外科医生在最重要的政治宣传问题上达成了强烈共识。美国骨科医师学会和ASES的工作应聚焦于这些领域。此外，绝大多数受访者认为宣传工作对患者和外科医生有积极影响。
