0
Editorials: Point and Counterpoint |

POINT: Does the United States Need More Intensivist Physicians? Yes

Bruce L. Davidson, MD, MPH, FCCP
Author and Funding Information

CORRESPONDENCE TO: Bruce L. Davidson, MD, MPH, FCCP, 12209 Shorewood Dr SW, Seattle, WA 98146


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(3):621-625. doi:10.1016/j.chest.2015.11.030
Text Size: A A A
Published online

Extract

A January 2015 article, “The Myth of the Workforce Crisis: Why the US Does Not Need More Intensivist Physicians,” stated expanding the intensivist supply was not practical and possibly harmful, and proposed alternatives to address “deficient quality and excess spending”: (1) nonphysician providers for ICU patients; (2) ICU telemedicine instead of an intensivist at the bedside; and (3) regionalization, ie, routinely sending the sickest ICU patients to “centers of excellence.” To decrease ICU bed demand, the authors proposed implicit rationing (restricting ICU beds to force internal triage) and state Certificate of Need laws to restrict ICU beds by decree. They claimed additional intensivists would not work where they were needed and that critical care medicine is not a popular fellowship, in part because of comparatively low reimbursement.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543