Meeting of the American Association of Plastic Surgeons. Portland, OR, USA, 1997/05/20.
Economic constraints developing as a result of rising health care costs in the United States pose significant challenges for and threats to the survival of academic plastic surgery.
Declining clinical revenues, competition for patients and resources from other health care providers, and reductions in support of its education and research efforts necessitate a paradigm shift if it is to survive.
Questionnaires were used to collect data from 92 of the 100 postgraduate training program directors of plastic surgery in the United States.
The most common source of clinical income on a national basis was indemnity insurance.
Sources of clinical income varied by region.
The majority of programs, 80 percent, report that at least 75 percent of the income support for faculty came from practice income.
Financial support for ancillary and research personnel, in large part, came from this same source.
Resident salaries and benefits came largely from other resources.
Generally as population density within the metropolitan area in which a program was located increased, so too did the number of competing plastic surgeons, including graduates of the program and nonacademic cosmetic and hand surgeons.
However, levels of competition for cosmetic surgery in smaller metropolitan areas of some regions seem to be similar to those reported by programs in larger communities. (...)
Mots-clés Pascal : Chirurgie plastique, Qualité, Coût, Soin, Compétitivité, Chirurgien, Etats Unis, Amérique du Nord, Amérique, Enquête, Economie, Homme, Académie nationale de chirurgie plastique
Mots-clés Pascal anglais : Plastic surgery, Quality, Costs, Care, Competitivity, Surgeon, United States, North America, America, Survey, Economy, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0266908
Code Inist : 002B30A04B. Création : 11/09/1998.