在低密度和高密度人口区之间的泌尿器科工作人员的时间趋势和实践模式
Joshua A Halpern1, Sameer Mittal1, Jonathan E Shoag1
1Department of Urology, Weill Cornell Medical College and Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons (DLH, JDW), New York, New York.
Urology practice
|August 18, 2023
概括
非城市地区的泌尿科医生数量正在下降,老年医生执行较少的重大手术. 这一趋势可能会给美国农村地区的泌尿器科护理带来障碍.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 获得医疗保健 获得医疗保健 获得医疗保健
- 医生劳动力分析医生劳动力分析
背景情况:
- 了解泌尿科医生供应和实践的地理差异对于评估获得泌尿科护理和潜在的劳动力短缺至关重要.
- 量化城市和非城市泌尿科医生之间的差异,并分析随时间推移的趋势是必不可少的.
研究的目的:
- 量化美国城市和非城市泌尿科医生实践模式的差异.
- 评估随着时间的推移,泌尿科医生的地理分布趋势.
主要方法:
- 利用美国泌尿病学委员会 (ABU) 的程序病例日志,对2003年至2015年期间获得认证的9390名泌尿科医生进行了检查.
- 进行总结统计,以描述非城市 (人口<100,000) 与城市 (人口>100,000) 泌尿科医生的实践模式和病例组合.
主要成果:
- 非城市泌尿科医生的比例从2003年的19.4%下降到2015年的14.2%.
- 与城市泌尿科医生相比,非城市泌尿科医生更有可能成为全科医生,实践时间更长,单独从业,每年执行较少的重大泌尿病例.
- 城市泌尿科医生的比例更高的是女性.
结论:
- 泌尿科医生的地理分布越来越不平衡是显而易见的.
- 城市以外的老龄化泌尿器科工作人员执行较少的重大手术可能会导致非城市地区的美国人进入障碍.
- 这些发现突出了在不同地理区域确保平等获得专门泌尿器科护理方面的潜在挑战.
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