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在医疗保险人口中改变皮肤病程序模式:全国趋势分析
Christian Gronbeck1, Neelesh P Jain1, Albert E Zhou1
1Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut.
概括
皮肤科手术量总体下降,非医生临床医生 (NPC) 增加了他们的份额,而一般皮肤科医生,莫斯外科医生和初级保健医生 (PCP) 减少了. 这种趋势可能会使服务不足的地区的接入情况恶化.
科学领域:
- 皮肤病学 皮肤病学
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 提供者类型之间基本皮肤病治疗程序的比较趋势在全国范围内没有得到充分记录.
- 皮肤科医生受过诊断和治疗皮肤病变的培训,但程序数据有限.
- 了解程序转移对于医疗保健规划至关重要.
研究的目的:
- 分析不同提供者群体中常见皮肤病治疗程序的趋势.
- 为了比较一般皮肤科医生,莫斯外科医生,初级保健医生 (PCP) 和非医生临床医生 (NPC) 之间的程序量.
- 识别过程分布在时间上的变化.
主要方法:
- 从2016年到2021年对Medicare公共使用档案进行纵向分析.
- 检查了各类提供商的程序量和比例.
- 分析了与地理和社会经济因素相关的程序趋势.
主要成果:
- 整体皮肤学手术体积减少了3.0%.
- 一般皮肤科医生,莫斯外科医生和PCP显示程序量下降,而NPC增加了57.5%.
- 一般皮肤科医生的程序份额下降,特别是在农村,低收入和服务不足的县.
结论:
- 总体手术量下降,由一般皮肤科医生,莫斯外科医生和PCP进行的比例下降.
- 增加NPC程序可能有助于满足需求,但强调需要正式培训.
- 在服务不足的地区,一般皮肤科医生手术的减少可能会加剧未得到满足的需求.
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