结肠直肠外科手术中小型实践的减少:2015-2022年间实践巩固
Scott T Anderson1, Jordan R Mount2, Braden C Hintze3
1Mayo Clinic Alix School of Medicine, Jacksonville, Florida.
The Journal of surgical research
|April 26, 2024
概括
结肠直肠外科医生越来越多地加入了更大的小组实践,这一趋势在所有人口统计学中观察到,但具有显著的区域和性别差异. 新的外科医生优先加入这些大群体.
科学领域:
- 外科实践趋势 外科实践趋势
- 医疗保健管理的管理
- 结肠直肠手术 结肠直肠手术
背景情况:
- 医生实践安排正在转向更大的团体环境.
- 结直肠外科手术的巩固趋势特别需要详细检查.
- 了解人口统计学对实践变化的影响至关重要.
研究的目的:
- 分析结直肠外科手术当前实践巩固趋势.
- 评估人口因素 (年龄,性别,地理) 对这些趋势的影响.
- 为了识别结直肠外科医生实践中规模关联的变化.
主要方法:
- 追溯的横截面研究设计.
- 使用的医疗保险服务中心国家下载文件 (2015-2022).
- 根据实践规模,地区,性别和年龄对结直肠外科医生进行了分类.
主要成果:
- 结肠直肠外科医生人数增长了18.4% (2015-2022年),而实践人数增长了4.0%.
- 在小型实践 (1-2名成员) 的外科医生显著下降 (18.9%至10.7%).
- 大型实践 (500多名成员) 的外科医生数量大幅增加 (26.5%至45.2%),主要是新手术医生加入大团体.
结论:
- 结肠直肠外科医生正在整合到更大的实践联盟中.
- 这种整合趋势在各个人口群体中是显而易见的,但在地理位置和性别上有所不同.
- 未来的结直肠外科医生正在压倒性地进入更大的小组实践.
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