Changing demographics in patients with vascular disease
Changing demographics in patients with vascular disease
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DOI：
10.1016/j.jvs.2008.11.075
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发表时间：
2009-02-01
影响因子：
4.3
通讯作者：
Clagett, G. Patrick
中科院分区：
文献类型：
--
作者：
Kwolek, Christopher J.;Clagett, G. Patrick
在过去的20年中，美国血管疾病患者发生了巨大变化，西班牙裔、非洲裔美国人和其他少数民族患者的比例大幅增加。不仅这些患者的数量增加，而且少数民族人群中血管疾病的类型和分布也与非西班牙裔白人不同。虽然基因构成解释了其中的一些差异，但获得血管护理也是一个重要的决定因素，许多少数民族患者在疾病过程中表现较晚。这些因素给照顾这些患者的血管专家带来了重大挑战。血管外科工作人员由>90%的白色男性组成，目前不代表血管疾病患者人群的变化。此外，患有血管疾病的女性占许多血管外科手术的50%。在美国的许多地区，西班牙裔和非洲裔美国人患血管疾病的人数超过了非西班牙裔白人。然而，女性和少数民族医生在血管外科领域的代表性仍然严重不足。今年的E。血管外科学会会议上的斯坦利·克劳福德关键问题论坛讨论了血管外科工作人员与我们所服务的患者之间的脱节。本文回顾了美国人口的预计人口变化，这支持了培训更多样化的血管外科工作人员的需求。本文还回顾了少数民族和女性在医学院校，外科培训计划和血管外科计划在美国的代表性的现状。（J Vasc Surg 2009;49：528-31.）
The United States population with vascular disease has changed dramatically during the past 2 decades, with large increases in the proportion of Hispanic, African American, and other minority patients. Not only has the number of these patients increased, but the types and distribution of vascular disease in minority populations is also different from that encountered in non-Hispanic whites. Although genetic makeup accounts for some of these differences, access to vascular care is also an important determinant, with many minority patients presenting late in the course of the disease process. These factors create significant challenges for the vascular specialists caring for these patients. The vascular surgery workforce is composed of >90% white men and does not currently represent the changes in the population of patients with vascular disease. In addition, women with vascular disease comprise up to 50% of many vascular surgery practices. In many parts of the country, Hispanics and African Americans outnumber non-Hispanic whites with vascular disease. Yet, women and minority physicians are still significantly under-represented in the field of vascular surgery. This year's E. Stanley Crawford Critical Issues Forum at the Society for Vascular Surgery meeting addressed the disconnect between the vascular surgery workforce and the patients whom we serve. This article reviews the projected demographic changes in the population of the United States, which supports the need for training a vascular surgery workforce that is more diverse. This article also reviews the current status of minority and female representation in medical schools, surgical training programs, and vascular surgery programs in the United States. (J Vasc Surg 2009;49:528-31.)