医生沙漠:通过GIS绘图导航提供商供需的德克萨斯地区
Syed Hussain Jafri1, Subi Gandhi2, Edward Osei3
1College of Business Administration, Tarleton State University, Stephenville, TX 76402, USA.
Healthcare (Basel, Switzerland)
|December 17, 2024
概括
德克萨斯州的农村地区面临着心脏病学家,肺病学家和内分泌学家的严重短缺,这影响了医疗保健的准入. 解决这些专业差距对于减少健康差异和改善农村健康结果至关重要.
科学领域:
- 医学地理 医学地理
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
背景情况:
- 德克萨斯州农村社区经历了与有限的医疗保健接入,保险和运输有关的重大健康差异.
- 农村地区缺乏医疗专家加剧了健康问题,导致发病率和死亡率上升.
- 德克萨斯州医疗服务不足的地区受到这些医疗保健接入挑战的影响不成比例.
研究的目的:
- 调查德克萨斯州农村县的心脏病学家,肺病学家和内分泌学家的可用性.
- 在德克萨斯州确定特定的地理区域,这些必要的医疗专家的访问受到限制.
- 量化德克萨斯州农村医疗保健机构专家短缺的程度.
主要方法:
- 地理编码专家位置使用区域,州和联邦数据.
- 创建地理信息系统 (GIS) 地图,以可视化德克萨斯州254个县的专业分布.
- 根据疾病发病率,人口数量和50英里的旅行半径计算县级医生可用性指数.
主要成果:
- 在德克萨斯州196个乡村县,在50英里 (80公里) 的旅行距离内,发现心脏病专家的严重缺口.
- 肺病学家和内分泌学家也发现了类似的短缺,特别影响了西部农村县.
- 该研究强调了农村和城市在获得这三个关键医学专业方面存在明显的差异.
结论:
- 减少专家可用性的地理差异是缓解德克萨斯州健康不平等的关键.
- 建议采取诸如专业激励,扩展远程医疗和运输支持等战略,以改善农村医疗保健的获取.
- 解决这些专家短缺问题对于促进全州更公平的医疗保健系统至关重要.
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