Desautels S G, Rose S, Schoen R E
Division of Gastroenterology and Hepatology, University of Pittsburgh, Pennsylvania 15213, USA.
Am J Gastroenterol. 1998 Mar;93(3):329-31. doi: 10.1111/j.1572-0241.1998.00329.x.
Health care reform is dramatically changing the practice and delivery of medical care. The goal of this investigation was to examine gastroenterology trainees' outlook on the impact of health care reform on training programs.
A 24-question survey was mailed in February 1996 to 780 GI fellows obtained from the comprehensive American College of Gastroenterology (ACG) database.
A total of 362 fellows responded (46%): 85% were male, 57% Caucasian, 75% married, and 86% were university-based. Ninety-six percent of fellows believed that health care reform is adversely affecting the quality of health care and 94.1% felt that it was adversely affecting fellowship training. Eighty-eight percent expressed concern over the impact of health care reform on practice opportunities. Only 9% of fellows reported that their training program had established a specific educational program addressing health care reform, whereas 83% of fellows felt that their program should do so.
Gastroenterology fellows are concerned about the impact of health care reform on the quality of care and the quality of their fellowship training. Trainees believe that programs are not providing sufficient education to help them respond to the changes in health care.
医疗保健改革正在极大地改变医疗实践和服务的提供方式。本调查的目的是研究胃肠病学培训学员对医疗保健改革对培训项目影响的看法。
1996年2月，向从美国胃肠病学会（ACG）综合数据库中获取的780名胃肠病学研究员邮寄了一份包含24个问题的调查问卷。
共有362名研究员回复（46%）：85%为男性，57%为白种人，75%已婚，86%在大学附属医院工作。96%的研究员认为医疗保健改革对医疗质量产生了不利影响，94.1%的人认为这对研究员培训产生了不利影响。88%的人对医疗保健改革对实践机会的影响表示担忧。只有9%的研究员报告称他们的培训项目制定了针对医疗保健改革的特定教育计划，而83%的研究员认为他们的项目应该这样做。
胃肠病学研究员担心医疗保健改革对医疗质量和他们的研究员培训质量产生影响。学员们认为培训项目没有提供足够的教育来帮助他们应对医疗保健方面的变化。
