The shortage of medical oncologists: the Australian Medical Oncologist Workforce Study
The shortage of medical oncologists: the Australian Medical Oncologist Workforce Study
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DOI：
10.5694/mja11.10363
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发表时间：
2012-01-16
影响因子：
11.4
通讯作者：
Koczwara, Bogda
中科院分区：
文献类型：
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作者：
Blinman, Prunella L.;Grimlson, Peter;Koczwara, Bogda
目的：为了确定当前和预计的供应，需求和短缺的医疗肿瘤学家（MOs）和澳大利亚的化疗利用率。设计，设置和参与者：2009年横断面观察研究澳大利亚成人医疗肿瘤实践工作模式。仪器：电子或纸质自填问卷。主要结果措施：2009年和预计（2014年）的供应，需求和全职等效（FTE）MO的短缺，和化疗utilisation rate.Results：476个肿瘤内科职位，包括234个FTE MO确定。在150个肿瘤内科诊所中，117个（78%）位于大城市，33个（22%）位于农村。每个FTE MO的平均新患者数量为270例患者（各州范围为191 - 343例）。2009年对全职工作人员的需求估计为326至391人，2014年为361至432人。2009年，全职工作人员的短缺估计为92至157人，2014年为84至156人。结论：目前MO短缺的状况在未来仍将持续。需要制定国家战略，以提高肿瘤内科工作人员的能力和化疗的利用率。
Objective: To determine current and projected supply, demand and shortfall of medical oncologists (MOs) and the Australian chemotherapy utilisation rate.Design, setting and participants: A 2009 cross-sectional observational study of Australian adult medical oncology practice work patterns.Instrument: Electronic or paper self-administered questionnaire.Main outcome measures: The 2009 and projected (2014) supply, demand and shortfall of full-time equivalent (FTE) MOs, and the chemotherapy utilisation rate.Results: 476 medical oncology positions comprising 234 FTE MOs were identified. Of the 150 medical oncology practices, 117 (78%) were in metropolitan locations and 33 (22%) were in rural locations. The average number of new patients seen per FTE MO was 270 patients (ranging by state from 191 to 343). The demand for FTE MOs was estimated at 326 to 391 in 2009 and 361 to 432 in 2014. The shortfall of FTE MOs was estimated at 92 to 157 in 2009 and 84 to 156 in 2014. The chemotherapy utilisation rate was 19%.Conclusions: The current shortage of MOs is expected to persist in the future. National strategies are needed to increase the capacity of the medical oncology workforce and the chemotherapy utilisation rate.