Ringel S P, Rogstad T L
University of Colorado Health Sciences Center, Denver.
Neurology. 1993 Sep;43(9):1666-72. doi: 10.1212/wnl.43.9.1666.
The American Academy of Neurology (AAN) membership survey was developed to define and monitor changing trends in the demography and practice profile of US neurologists. All 11,300 AAN members received a Demographic Information Form (DIF) and 2,600 members also received a Practice Profile Form (PPF) to gather this information. Response rates were 75% from the DIF group and 70% from those who received both. For responding members, age (median, 43 years), sex (83% male), race/ethnic origin (85% white), and medical schools (22% international medical graduates) are similar to those for other physicians in the United States. The ratio of neurologists to population ranges from a low of 1.3 per 100,000 in Wyoming to a high of 11.0 per 100,000 in the District of Columbia. One-fourth of neurologists complete at least one residency in addition to neurology and 39% complete a fellowship. Although nearly two-thirds (63%) of neurologists have a full-time or clinical academic appointment, 70% indicate patient care as their primary medical activity. The number of working hours and professional activities of neurologists vary with practice type. Neurologists perform numerous neurodiagnostic tests for reimbursement, particularly neurophysiologic studies and lumbar puncture. One-third of office-based neurologists have an ownership interest in an imaging facility. The most common payment sources for professional fees are commercial insurers (32%) and Medicare (29%), the latter reflecting the large proportion of disabled and elderly treated by neurologists. Office-based neurologists provide 5% charity care and write off an additional 13% of unpaid charges. The practice of neurology is constantly changing.(ABSTRACT TRUNCATED AT 250 WORDS)
美国神经病学学会（AAN）开展会员调查，旨在界定并监测美国神经科医生人口统计学特征及执业概况的变化趋势。AAN的11300名会员均收到一份人口信息表（DIF），2600名会员还收到一份执业概况表（PPF），以收集相关信息。DIF组的回复率为75%，同时收到两份表格的会员回复率为70%。对于回复的会员，其年龄（中位数43岁）、性别（83%为男性）、种族/族裔（85%为白人）以及医学院校（22%为国际医学毕业生）与美国其他医生相似。神经科医生与人口的比例从怀俄明州每10万人中1.3名的低比例到哥伦比亚特区每10万人中11.0名的高比例不等。四分之一的神经科医生除神经科外还至少完成了一项住院医师培训，39%完成了专科培训。尽管近三分之二（63%）的神经科医生有全职或临床学术职位，但70%的人将患者护理作为其主要医疗活动。神经科医生的工作时长和专业活动因执业类型而异。神经科医生进行大量神经诊断测试以获取报酬，尤其是神经生理学研究和腰椎穿刺。三分之一的门诊神经科医生在一家影像机构拥有权益。专业费用最常见的支付来源是商业保险公司（32%）和医疗保险（29%），后者反映了神经科医生治疗的残疾人和老年人的比例较大。门诊神经科医生提供5%的慈善医疗服务，并核销另外13%的未付费用。神经病学的执业情况在不断变化。（摘要截选至250词）
