美国癌症专家组织在美国的医生实践和卫生系统
Christina A Nguyen1,2, Nancy D Beaulieu2, Alexi A Wright3
1Massachusetts Institute of Technology, Cambridge, MA.
概括
许多癌症专家在独立环境中执业,而不仅仅是卫生系统. 在农村和低收入地区,获得癌症护理和专家的机会是有限的,到癌症中心的旅行距离较长.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 癌症护理服务越来越多地融入卫生系统.
- 了解癌症专家的分布和实践模式对于评估医疗保健准入至关重要.
研究的目的:
- 描述卫生系统内外癌症专家的供应和组织.
- 评估多专业癌症中心的地理可达性.
主要方法:
- 利用2018年国家经济研究局和医疗保险局的数据,确定了46,341名癌症护理医生.
- 按学科,卫生系统类型,实践规模和组成分层的医生.
- 根据县和距离国家癌症研究所 (NCI) 癌症中心的距离计算的癌症专家密度.
主要成果:
- 超过一半的癌症专家 (57.8%) 在卫生系统中,但55.0%的访问发生在独立实践中.
- 在NCI癌症中心系统 (95.2%),非NCI学术系统 (95.0%) 和非学术系统 (94.3%) 中,多专业实践是常见的,但在独立实践中 (44.8%) 较少.
- 农村地区的专家密度稀少,到NCI癌症中心的平均行程距离为98.7英里,收入较低的地区到这些中心的距离更远.
结论:
- 尽管趋向于多专业卫生系统,但癌症护理的很大一部分是在独立实践中进行的.
- 在获得癌症专家和NCI癌症中心方面的地理和社会经济差异仍然存在,特别影响农村和低收入人口.
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