The American Society for Radiation Oncology Workforce Taskforce Review of the United States Radiation Oncology Workforce Analysis

被引：8

作者：

Shah, Chirag ^{[1
]}

Mohindra, Pranshu ^{[2
]}

Arnone, Anna ^{[3
]}

Bates, James Edward ^{[4
]}

Mattes, Malcolm D. ^{[5
]}

Campbell, Shauna ^{[1
]}

Fontanilla, Hiral P. ^{[6
]}

Sim, Austin J. ^{[7
]}

Sharp, Hadley J. ^{[8
]}

Kelly, Patrick ^{[9
]}

Mantz, Constantine ^{[10
]}

Eichler, Thomas ^{[11
]}

Sandler, Howard ^{[12
]}

Fields, Emma ^{[11
]}

Pinnix, Chelsea C. ^{[13
]}

Vapiwala, Neha ^{[14
]}

Haffty, Bruce ^{[5
]}

机构：

[1] Cleveland Clin, Taussig Canc Inst, Dept Radiat Oncol, Cleveland, OH 44106 USA

[2] Univ Maryland, Sch Med, Dept Radiat Oncol, Baltimore, MD USA

[3] Amer Soc Radiat Oncol, Arlington, VA USA

[4] Emory Healthcare, Dept Radiat Oncol, Atlanta, GA USA

[5] RWJ Barnabas Hlth, Rutgers Canc Inst New Jersey, Dept Radiat Oncol, New Brunswick, NJ USA

[6] Astera Canc Care, Princeton Radiat Oncol, Monroe, NJ USA

[7] Ohio State Univ, Comprehens Canc Ctr, James Canc Hosp, Dept Radiat Oncol, Columbus, OH 43210 USA

[8] Southeast Radiat Oncol, Charlotte, NC USA

[9] Orlando Hlth, Orlando, FL USA

[10] GenesisCare, Ft Myers, FL USA

[11] Virginia Commonwealth Univ, Massey Canc Ctr, Dept Radiat Oncol, Richmond, VA USA

[12] Cedars Sinai Med Ctr, Dept Radiat Oncol, Los Angeles, CA USA

[13] Univ Texas MD Anderson Canc Ctr, Dept Radiat Oncol, Houston, TX USA

[14] Univ Penn, Perelman Sch Med, Dept Radiat Oncol, Philadelphia, PA USA

来源：

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS | 2023年 / 116卷 / 03期

关键词：

Health insurance - Oncology - Radiotherapy - Uncertainty analysis;

D O I：

10.1016/j.ijrobp.2023.02.056

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Over the past decade, concerns have arisen in radiation oncology regarding potential workforce supply and demand imbalance. The American Society for Radiation Oncology commissioned an independent analysis in 2022, looking at supply and demand in the United States radiation oncology workforce and projecting future trends for 2025 and 2030. The final report, titled Projected Supply and Demand for Radiation Oncologists in the U.S. in 2025 and 2030, is now available. The analysis included evaluating radiation oncologist (RO) supply (new graduates, exits from the specialty), potential changes in demand (growth of Medicare beneficiaries, hypofractionation, loss of indications, new indications) as well as RO productivity (growth of work relative value units [wRVUs] produced), and demand per beneficiary. The results demonstrated a relative balance between radiation oncology supply and demand for radiation services; the growth in ROs was balanced by the rapid growth of Medicare beneficiaries over the same period. The primary factors driving the model were found to be growth of Medicare beneficiaries and change in wRVU productivity, with hypofractionation and loss of indication having only a moderate effect; although the most likely scenario was a balance of workforce supply and demand, scenarios did demonstrate the possibility of over- and undersupply. Oversupply may become a concern if RO wRVU productivity reaches the highest region; beyond 2030, this is also possible if growth in RO supply does not parallel Medicare beneficiary growth, which is projected to decline and will require corresponding supply adjustment. Limitations of the analysis included uncertainty regarding the true number of ROs, the lack of inclusion of most technical reimburse-ment and its effect as well as failing to account for stereotactic body radiation therapy. A modeling tool is available to allow individuals to evaluate different scenarios. Moving forward, continued study will be needed to evaluate trends (par-ticularly wRVU productivity and Medicare beneficiary growth) to allow for continued assessment of workforce supply and demand in radiation oncology. & COPY; 2023 Elsevier Inc. All rights reserved.

引用

页码：484 / 490

页数：7

共 12 条

[11] Expanding the Number of Trainees in Radiation Oncology: Has the Pendulum Swung Too Far?
Shah, Chirag
[J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2013, 85 (05): : 1157 - 1158
[12] The Future of Radiation Oncology in the United States From 2010 to 2020: Will Supply Keep Pace With Demand?
Smith, Benjamin D.
Haffty, Bruce G.
Wilson, Lynn D.
Smith, Grace L.
Patel, Akshar N.
Buchholz, Thomas A.
[J]. JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (35) : 5160 - 5165

← 1 2 →