南达科他州皮肤病学:城市与农村等待时间和皮肤科医生密度
Colby Felts1, Lauren Ochoa2, Marcus Frohm3,4
1Transitional Year Residency Program, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
概括
南达科他州的皮肤科医生等待时间在农村和城市地区是相似的,尽管皮肤科医生与患者的比例很低. 超过六周的等待时间很常见,突出了皮肤病护理的获取问题.
科学领域:
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 南达科他州在2019年面临着严重的皮肤科医生短缺,只有32名注册提供者.
- 仅限于皮肤病护理的机会,可能导致诊断,治疗和疾病进展的延迟.
研究的目的:
- 为了调查在南达科他州农村和城市地区等待皮肤科医生的等待时间是否不同.
- 评估与皮肤病护理可访问性相关的患者与提供者的比例.
主要方法:
- 在南达科他州的皮肤病诊所进行了调查,以获取等待时间数据.
- 城市地区被定义为人口为5万或更多的人口.
- 理想的患者与皮肤科医生比率为每10万人中有4人.
主要成果:
- 南达科他州75%的皮肤病诊所参与,农村和城市分布均.
- 在农村和城市诊所之间,没有发现新的 (p=0.787) 或已建立的患者 (p=0.461) 的等待时间有统计学意义的差异.
- 大多数南达科他州的城市都达到目标患者与皮肤科医生比例,但达科他沙丘是例外.
结论:
- 这项研究不支持农村与城市南达科他州等待时间较长的假设.
- 在农村和城市环境中观察到超过六周的等待时间.
- 需要进一步的研究,以确定改善及时获得皮肤病护理的解决方案,尽管提供者比例充足.
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