Socioeconomics and politics affecting the Japanese neurosurgeon.

نویسندگان

  • J I Ausman
  • T Shibuya
چکیده

Ask almost any neurosurgeon in the developed world what his or her main concern is. It is the effect of socioeconomics and politics on his life, not science or the latest way to treat an aneurysm or lumbar disc. Why? Because there are too many neurosurgeons competing with each other, the amount they are being paid for their work is decreasing, and their incomes are falling after years of study for a career they believed would provide economic security. Other specialties are competing for the cases that used to be the sole province of neurosurgery; malpractice threats are clouding phy sicians' lives. Neurosurgeons feel there is little they can do about these changes. In general, neurosur geons are independent and individualistic, and un used to group organization. Their national societies often seem to be powerless to make any significant changes in the laws that will affect any of these outside forces. Therefore, many neurosurgeons have decided that they should live for the present and make as much money as they can, because the future may be worse. We can see the results of this kind of thinking in the tendency of many doctors, hospitals, administrators, and health care systems to practice medicine for money rather than for the good of the patient. In the developing world, the plight of neu rosurgeons is not much better, although the problems they face may be different. What has hap pened to change the lives of neurosurgeons around the world? The world has changed, and is still changing. Major Changes in World Politics in the Last Half-Century

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عنوان ژورنال:
  • Neurologia medico-chirurgica

دوره 39 6  شماره 

صفحات  -

تاریخ انتشار 1999