评估新泽西州放射学实践中的健康差异:探索放射科医生的地理分布
William J Lee1, Yash Shah1, Albert Ku2
1Radiology, Rutgers University New Jersey Medical School, Newark, USA.
Cureus
|August 16, 2023
概括
放射科医生不成比例地在高收入的新泽西县执业. 然而,埃塞克斯,坎登和大西洋县的招聘取得了成功,为其他低收入地区提供了改善放射科医生接入的模式.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗成像医学成像
- 公共卫生政策 公共卫生政策
背景情况:
- 放射科医生分配对于公平获得医疗保健至关重要.
- 社会经济因素可能会影响医疗专家的地理分布.
- 了解这些差异是解决医疗保健不平等问题的关键.
研究的目的:
- 根据县收入水平,评估新泽西州 (NJ) 放射科医生的分布.
- 为了识别有不充分的放射科医生访问的弱势群体.
- 探索放射科医生分配对健康结果的影响.
主要方法:
- 利用NJ医疗保健资料数据库来积极实践放射科医生.
- 按诊断和干预专业和实践地点分层的放射科医生.
- 通过使用美国人口普查数据,根据家庭收入中位数分组的新泽西县的放射科医生与人口比率进行比较.
主要成果:
- 在新泽西州的1,186名放射科医生中,86%是诊断,14%是干预.
- 大约44%的放射科医生在高收入县执业,25%在中等收入县,31%在低收入县.
- 三个低收入县 (埃塞克斯,坎登,大西洋) 的放射科医生准入率与高收入地区相美.
结论:
- 存在很大的差异,新泽西州高收入县的放射科医生更多.
- 埃塞克斯,坎登和大西洋县在低收入地区展示了成功的放射科医生招聘策略.
- 这些成功的招聘模式可以为改善服务不足社区放射科医生的准入提供信息.
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