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Otolaryngology Provider Distribution Disparities in Pennsylvania
Edra K Ha1, Natasha Mayer1, Eugene Kim1
1Department of Otolaryngology-Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA.
Objective:
To assess the distribution of otolaryngology providers within Pennsylvania.
Study Design:
Cross-sectional study.
Setting:
State of Pennsylvania.
Methods:
Otolaryngologists in Pennsylvania were analyzed based on their associated state Area Deprivation Indexes (ADIs) and Rural-Urban Commuting (RUCA) Codes, as determined by census tract data.
Results:
Of 563 otolaryngology providers identified in Pennsylvania, 477 (83.7%) had office addresses with available RUCA codes and 446 (79.2%) with associated ADI measures. Providers were predominantly located in urban settings, with 466 (93.5%) reporting a primary clinic address in a metropolitan area (RUCA 1-3) and 25 (5.2%) in a micropolitan area (RUCA 3-6). Notably, only 4 (0.8%) providers had primary clinic addresses in small towns (RUCA 7-9) and 2 (0.4%) in rural areas (RUCA 10). Similarly, 171 (38.3%) of providers were situated in areas with an ADI in the top 2 deciles (1-2), while only 56 (12.6%) had clinic addresses in deciles 9-10 (most deprived areas).
Conclusion:
Pennsylvania faces disparities in access to otolaryngology providers based on socioeconomic and urban-rural workforce distribution.
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