背景:近年来,医生参与政治宣传变得越来越重要。这项研究旨在探讨美国肩肘外科医生(ASES)成员参与政治宣传的类型和障碍,确定ASES成员认为最重要的问题,并评估可能与ASES成员参与政治宣传工作相关的人口因素。
方法:这项调查是由ASES政治倡导委员会在2021年6月进行的,为期两周。调查收集了包括性别在内的人口统计信息,种族,多年的实践,实践类型,政治派别,以及目前参与政治宣传的水平。其他问题包括有关当前医疗保健政策问题的想法以及美国骨科医师学会(AAOS)/ASES在此类政策问题上的作用。
结果:我们收到297份回复,总有效率为27%。在那些回答的人中,24.6%被确认为民主党人,33%被确认为共和党人,42.4%被认定为独立。成员之间的政治隶属关系没有差异。医生报销(82%),医疗责任改革(50%),和医师所有权(50%)是受访者中确定的最重要的问题。医师所有权,医生报销和GME和学生贷款改革对早期实践中的人来说是最重要的,而质量和研究对于拥有超过25年实践经验的人来说是最重要的。
结论:外科医生在最重要的政治倡导问题上达成了强烈共识。AAOS和ASES的努力应集中在这些领域。此外,绝大多数受访者认为宣传工作对患者和外科医生有积极影响.
BACKGROUND: Physician involvement in political advocacy has become increasingly important in recent years. This study aims to explore the types of involvement and barriers to involvement in political advocacy among American Shoulder and Elbow Surgeons (ASES) members, identify issues considered most important by ASES members, and assess demographic factors that might correlate with involvement in political advocacy efforts among ASES members.
METHODS: This survey was conducted by the ASES Political Advocacy Committee over a two-week period in June 2021. The survey collected demographic information including sex, ethnicity, years in practice, practice type, political affiliation, and level of current involvement in political advocacy. Additional questions consisted of thoughts regarding current health care policy issues and the role of the American Academy of Orthopaedic Surgeons (AAOS)/ASES regarding such policy issues.
RESULTS: We received 297 responses for a total response rate of 27%. Of those who responded, 24.6% identified as Democrat, 33% identified as Republican, and 42.4% identified as Independent. There was no difference in political affiliation between membership groups. Physician Reimbursement (82%), Medical Liability Reform (50%), and Physician Ownership (50%) were the most important issues identified among respondents. Physician Ownership, Physician Reimbursement and GME and Student Loan Reform were most important to those in early practice, while Quality and Research was most important to those with greater than 25 years of practice experience.
CONCLUSIONS: There is strong agreement among surgeons regarding the most important political advocacy issues. The efforts of the AAOS and ASES should focus on these areas. Additionally, the vast majority of respondents felt that advocacy efforts had a positive impact on patients and surgeons.