Impact of Non-Gastroenterologists Performing Gastrointestinal Endoscopy on the Practice of Gastroenterologists and Variations in Practice of Gastrointestinal Endoscopy by Non-Gastroenterologist Endoscopists and Gastroenterologists in Georgia, United States
Notice bibliographique
Résumé
Purpose: Most gastroenterologists perform gastrointestinal endoscopies, however all gastrointestinal endoscopies are not performed by gastroenterologists. There exists a perception in the medical community is that the endoscopies are increasingly taken over from the gastroenterologists (GE) by the non-gastroenterologist endoscopists (NGE) causing substantial impact on the practice of gastroenterologists. The goal of this study was to determine whether GE's and NGE's feel threatened by this competition to their practice of endoscopy. Methods: A telephone survey of GE's (N = 100) and NGE's (N = 100, 59 family physicians and 41 general surgeons) was conducted in the State of Georgia, United States in 2004. The names and telephone numbers of the physicians were randomly obtained from the Yellow Pages section of the BellSouth telephone directory. A 12 questionnaire telephone survey was administered and responses were recorded and analyzed. Results: All the GE's practiced in urban areas compared to 65% of the NGE's who practiced in rural areas (p < 0.001). GE's performed an average of 27 endoscopies per week compared to six endoscopies per week by NGE's. GE's claimed that they spent 56% of their time in endoscopy compared to 11% of their time by NGE's (p < 0.001). The average wait time for a non-urgent new patient to see a GE was five weeks compared to one week for NGE. 50% of the GE's were in group practice compared to 14% of the NGE's. The average work week of a GE was 48 hours compared to 62 hours of a NGE. 62% of the GE's performed endoscopies in out-patients surgical centers compared to 90% of the NGE's in hospitals (p < 0.001). 55% of the GE's agreed that compensation for the endoscopy is adequate compared to 70% of the NGE's (p < 0.05). 72% of the GE's believe that there is shortage of gastroenterologists compared to 80% of the NGE's (p= 0.20). 10% of the GE's were willing to refer their patients for endoscopy compared to 26% of the NGE's (p < 0.01). 90% of the GE's thought NGE's are not a threat to their practice whereas 92% of the NGE's thought GE's are not a threat to their practice. Conclusions: Neither GE's, nor NGE's view each other as a threat to their practice of gastrointestinal endoscopy. The numbers of endoscopies performed by the GE's are more when compared to the NGE's. NGE's provide endoscopy services in rural areas that are not served by GE's.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».