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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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The Arduous Path Toward Equitable Access to Endocrinology Care.

Giulio R Romeo1,2, Tiziana Caputo1, Izabela W Stanescu3

  • 1Joslin Diabetes Center, Harvard Medical School, Boston, MA 02215, USA.

Journal of the Endocrine Society
|July 29, 2024
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Summary

Addressing the endocrinology workforce shortage requires optimizing care delivery and promoting diversity. Implementing team-based models and policies tackling health disparities can improve access to endocrine services for all populations.

Keywords:
care modelsendocrinology accesshealth disparitiesshortage of endocrinologistsunderrepresented in medicine

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Area of Science:

  • Endocrinology
  • Health Services Research
  • Health Equity

Background:

  • Growing demand for endocrinology services outpaces workforce growth, leading to access issues.
  • Inefficient utilization of endocrinologist expertise exacerbates the specialty care gap.
  • Endocrine conditions disproportionately affect underserved communities, worsening health disparities.

Purpose of the Study:

  • To identify factors contributing to the endocrinology service gap.
  • To propose strategies for improving access to endocrine care.
  • To promote health equity in endocrinology.

Main Methods:

  • Analysis of workforce supply and demand in endocrinology.
  • Evaluation of current care delivery models.
  • Review of policy implications for health disparities.

Main Results:

  • Workforce shortages and inefficient care models create an access crisis.
  • Underserved populations bear a higher burden of endocrine diseases.
  • Systemic changes are needed to ensure equitable care distribution.

Conclusions:

  • Transitioning to outcome-driven, team-based care models can enhance service delivery.
  • Policies addressing social determinants of health are crucial for equitable care.
  • Increasing workforce diversity, including leadership, is vital for innovation and revitalizing endocrinology.