地理信息系统绘制佛罗里达州创伤中心发展的地图
Justine S Broecker1, Christopher Gross2, Robert Winchell3
1Department of Surgery, Mayo Clinic Florida, Jacksonville, Florida.
The Journal of surgical research
|October 20, 2024
概括
佛罗里达州的新创伤中心 (TC) 偏爱高收入地区,收费较高. 这表明需要监督,以确保公平的创伤护理服务,超越经济激励.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 地理信息系统 (GIS) 是指地理信息系统.
- 公共卫生政策 公共卫生政策
背景情况:
- 在过去的十年中,美国的创伤中心 (TC) 显著增加.
- 假设侧重于社会经济因素和医院所有权影响新的TC分配.
- 目的是使用GIS分析TC增长和地点选择因素.
研究的目的:
- 评估新的创伤中心的地理分布.
- 确定与新的TC地点相关的社会经济和人口因素.
- 评估医院所有权在创伤中心发展中的作用.
主要方法:
- 在杰克逊维尔和迈阿密使用ARC-GIS绘图软件进行TC分布分析.
- 分类医院所有权为营利性 (FP) 或政府.
- 综合2020年美国人口普查数据社会人口统计变量 (种族,收入,保险) 按邮政编码.
主要成果:
- 在杜瓦尔/克莱和戴德/布罗沃德县,大多数新建的工厂是FP.
- 所有新的TC都表现出比已建立的中心更高的平均收费.
- 新的TC主要位于收入较高的社区,有更好的保险人口和更少的非裔美国居民.
结论:
- 佛罗里达州主要大都市地区的较新的TC主要是以营利为目的.
- 这些中心的平均收费较高,位于富裕,保险充足的地区,非洲裔美国人人口较少.
- 调查结果表明,可能需要加强对创伤系统发展的监督,以优先考虑社区需求而不是财政激励.
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