Cohn L H, Anderson R P, Loop F D, Fosburg R G, Cunningham J N, Láks H
Department of Surgery, Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02115, USA.
J Thorac Cardiovasc Surg. 1995 Aug;110(2):570-85. doi: 10.1016/S0022-5223(95)70269-5.
To determine demographics, practice patterns, and work volume of North American thoracic surgeons, we sent a detailed survey to all members of The American Association for Thoracic Surgery and The Society of Thoracic Surgeons between January and May 1993 to determine data for 1992; 3049 of 3487 (87%) thoracic surgeons responded and 2677 (88%) were in active practice. Ninety-seven percent were male and 3% female, with a mean age of 52 years. Sixty-five percent considered fee-for-service as their primary compensation mode. Only 24% do isolated subspecialty work: 2% pediatric cardiac surgery. 10% general thoracic surgery, and 12% adult cardiac surgery. Seventy-six percent of respondents do both cardiac and thoracic operations. Workload data for adult cardiac, pediatric cardiac, general thoracic, peripheral vascular, and pacemaker operations were requested. Volume data were cross-correlated with age, 10 geographic regions including Canada, type of practice, and type of compensation and were cross-checked by hospital discharge data for 1992. These data were compared with data from similar surveys performed in 1976, 1980, and 1985, under the auspices of the same two societies; these latter surveys used diplomates of the American Board of Thoracic Surgery as their database. Workloads have increased over previous surveys. Most surgeons do a wide variety of thoracic operations, and exclusive designations are in the minority.
为了确定北美胸外科医生的人口统计学特征、执业模式和工作量，我们于1993年1月至5月向美国胸外科协会和胸外科医师协会的所有成员发送了一份详细调查问卷，以获取1992年的数据；3487名胸外科医生中有3049名（87%）回复了问卷，其中2677名（88%）仍在积极执业。男性占97%，女性占3%，平均年龄为52岁。65%的医生将按服务收费作为主要薪酬模式。只有24%的医生从事单一的亚专业工作：2%从事小儿心脏外科，10%从事普通胸外科，12%从事成人心脏外科。76%的受访者同时进行心脏和胸科手术。我们还收集了成人心脏、小儿心脏、普通胸科、外周血管和起搏器手术的工作量数据。手术量数据与年龄、包括加拿大在内的10个地理区域、执业类型和薪酬类型进行了交叉关联，并通过1992年的医院出院数据进行了交叉核对。这些数据与在这两个协会主持下于1976年、1980年和1985年进行的类似调查数据进行了比较；后几次调查以美国胸外科委员会的专科医师作为数据库。与之前的调查相比，工作量有所增加。大多数外科医生都进行多种胸科手术，专门从事单一手术的医生占少数。
