Specialty choice and physicians' career paths in Japan: An analysis of National Physician Survey data from 1996 to 2006
Specialty choice and physicians' career paths in Japan: An analysis of National Physician Survey data from 1996 to 2006
复制标题
DOI：
10.1016/j.healthpol.2010.06.021
复制
发表时间：
2010-12-01
期刊：
影响因子：
3.3
通讯作者：
Imamura, Tomoaki
中科院分区：
文献类型：
--
作者：
Koike, Soichi;Matsumoto, Shinya;Imamura, Tomoaki
目的：为了调查日本医师的专业分布和职业发展趋势，并讨论潜在的政策含义，方法：根据1996年至2006年的全国医师调查数据，分析主要执业领域的分布、委员会认证的专家与报告的主要执业领域之间的关系以及主要执业领域的职业阶段迁移。从1996年到2006年，内科、外科、神经外科、儿科、眼科、妇产科和耳鼻喉科医生的比例有所下降。总体而言，报告的主要业务领域的人数与委员会认证的专家人数相符。在1996年注册队列中，开始从事内科医生职业的医生中，从事内科医生的比例从1996年的82.5%下降到2000年的43.6%，到第10年下降到37.0%。在五个注册队列分析，9.1-16.8%的外科专科组切换其主要领域的实践，以内科在10 years.Conclusions：虽然有一个普遍的趋势，专业化，重要的是要平衡一般的做法和专业化，以加强医疗保健系统。建立认证体系和保持专科医生的质量也至关重要。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Objectives: To investigate trends of specialty distribution and physicians' career paths in Japan, and to discuss potential policy implications.Methods: Distribution of main area of practice, relation between board-certified specialists and reported main area of practice, and migration of main area of practice by career stage were analyzed in data from the National Physician Survey, collected between 1996 and 2006.Results: The percentages of physicians involved in internal medicine, surgery, neurosurgery, pediatrics, ophthalmology, obstetrics and gynecology and otorhinolaryngology decreased from 1996 to 2006. Overall, the numbers reported for the main area of practice matched the number of board-certified specialists. Among physicians who began their careers as internal medicine physicians in the 1996 registration cohort, the proportion of those engaged in internal medicine fell from 82.5% in 1996, to 43.6% in 2000, to 37.0% by their 10th year. Among five registration cohorts analyzed, 9.1-16.8% of the surgical specialties group switched their main area of practice to internal medicine within 10 years.Conclusions: While there is a general trend toward specialization, it is important to balance between general practice and specialization to strengthen health care systems. Developing a certification system and maintaining the quality of specialist physicians are also crucial. (C) 2010 Elsevier Ireland Ltd. All rights reserved.