A comparison of the structure of radiation oncology in the United States and Japan.
Internation Society of Radiation Oncology ASTRO. Annual meeting. San Francisco CA USA, 1994/10.
The United States and Japan have very different backgrounds in their medical care systems.
In the field of radiation oncology, national surveys on structure have been conducted for both countries and compared to illustrate any similarities and differences present from 1989-1990.
Methods and Materials
The Patterns of Care Study Facility Survey conducted in 1989 in the United States and the National Survey of Structure in Japan in 1990 were compared to evaluate the equipment pattern, staffing pattern, compliance rate with the « blue book » (3) guideline, and the geographic distribution of institutions.
In the United States, a total of 598,184 (49% of the total of newly diagnosed) patients were treated with radiation therapy.
In Japan, 62,829 (approximately 15% of the total of newly diagnosed) patients were treated.
The numbers of external megavoltage treatment machines were 2,397 in the United States and 494 in Japan.
The numbers of full time equivalent (FTE) radiation oncologists were 2,335 in the United States and 366 in Japan.
Only 15% of United States facilities and 11% of Japan facilities complied with the narrow blue book guideline for the patients per FTE radiation oncologist (200-250), while the most common ratio was 151-200 patients/FTE in the United States and 51-100 in Japan.
In Japan, more than 60% of institutions were staffed by a part-time radiation oncologist (FTE<1.0).
Between geographic regions, there was variation in the...
Mots-clés Pascal : Etude comparative, Etats Unis, Japon, Cancérologie, Radiothérapie, Médecine nucléaire, Système santé, Amérique du Nord, Amérique, Asie
Mots-clés Pascal anglais : Comparative study, United States, Japan, Cancerology, Radiotherapy, Nuclear medicine, Health system, North America, America, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0104684
Code Inist : 002B30A01B. Création : 199608.