Stanley J C, Barnes R W, Ernst C B, Hertzer N R, Mannick J A, Moore W S
University of Michigan Medical Center, Ann Arbor 48109-032, USA.
J Vasc Surg. 1996 Jan;23(1):172-81. doi: 10.1016/s0741-5214(05)80050-3.
The Committee on Workforce Issues of the Society for Vascular Surgery (SVS) and the North American Chapter, International Society for Cardiovascular Surgery (NA-ISCVS) generated data on the numbers and trends of operations performed and workforce requirements to provide surgical care of patients with vascular disease. Data for analysis were obtained from The National Center for Health Statistics-National Hospital Discharge Survey and questionnaires sent to 2732 vascular surgeons. The data showed that SVS/NA-ISCVS and regional vascular society (RVS) surgeons performed 51% of 583,000 vascular procedures undertaken in the United States in 1992. This represents a 24% increase over the 41% reported in 1985 by similarly defined surgeons. Analysis of 1992 index cases documented that SVS/NA-ISCVS and RVS surgeons accounted for 80% of 31,000 aortoiliofemoral bypasses, 68% of 46,000 aortic aneurysmectomies, 64% of 91,000 carotid endarterectomies, and 72% of 98,000 angioaccess procedures. The mean numbers of vascular operations performed in 1992 by SVS/NA-ISCVS and RVS surgeons were 144 and 100, respectively. These procedures represented 64% and 39% of the total surgical caseload of SVS/NA-ISCVS and RVS surgeons, respectively. American Board of Surgery (ABS)-certified vascular surgeons performed a mean of 171 vascular operations in 1992. Other surgeons, including ABS-certified general surgeons, appear to be performing fewer vascular operations. The latter fact and the increasing incidence of vascular disease in an expanding elderly population supports a continued need for vascular surgery specialists. Evolving technology and new health care delivery systems, however, may lessen the need for surgical care of these patients. Continued assessments of workforce activity will allow better definition of changing vascular surgery needs.
血管外科学会（SVS）劳动力问题委员会以及北美心血管外科学会（NA - ISCVS）收集了有关血管疾病患者手术治疗数量、趋势及劳动力需求的数据。分析数据来自国家卫生统计中心的全国医院出院调查以及向2732名血管外科医生发放的问卷。数据显示，1992年在美国进行的58.3万例血管手术中，SVS/NA - ISCVS和地区血管外科学会（RVS）的外科医生完成了51%。这比1985年类似定义的外科医生报告的41%增长了24%。对1992年索引病例的分析表明，SVS/NA - ISCVS和RVS的外科医生占3.1万例主髂股动脉搭桥手术的80%，4.6万例主动脉瘤切除术的68%，9.1万例颈动脉内膜切除术的64%，以及9.8万例血管通路手术的72%。1992年SVS/NA - ISCVS和RVS的外科医生平均进行的血管手术数量分别为144例和100例。这些手术分别占SVS/NA - ISCVS和RVS外科医生总手术量的64%和39%。1992年，美国外科委员会（ABS）认证的血管外科医生平均进行171例血管手术。其他外科医生，包括ABS认证的普通外科医生，进行的血管手术似乎较少。后一事实以及不断增加的老年人口中血管疾病发病率的上升，表明持续需要血管外科专家。然而，不断发展的技术和新的医疗保健提供系统可能会减少对这些患者手术治疗的需求。持续评估劳动力活动将有助于更好地界定不断变化的血管外科需求。
