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美国眼科外科子专家的地理分布
Aishah Ahmed1, Muhammad Ali1, Chen Dun2,3
1The Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
JAMA ophthalmology
|January 2, 2025
概括
农村患者数量超过农村眼科亚专科外科医生,这表明劳动力差异很大. 女性外科医生和最近的毕业生不太可能在农村地区执业,这加剧了这一差距.
科学领域:
- 眼科医生 眼科 眼科
- 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:
- 城市地区的眼科医生比农村地区多,但眼科外科子专家的分布尚不清楚.
- 潜在的农村子专家短缺可能会不成比例地影响农村患者的护理负担.
研究的目的:
- 分析眼科外科子专家的地理分布.
- 确定与在农村地区从事实践的子专家相关的因素.
主要方法:
- 一项基于人口的横截面研究分析了2012-2022年期间的医疗保险服务费索赔.
- 数据包括1,619,043个眼科手术,由13,526名子专家 (角膜,玻璃眼,眼膜,视网膜,) 进行.
主要成果:
- 17.4%的患者居住在农村地区,而亚专科外科医生只有5.6%.
- 女性外科医生 (aOR 0.63),东北和西部的女性外科医生以及最近毕业的女性外科医生不太可能在农村进行实践.
- 在研究期间,农村外科医生的数量下降.
结论:
- 农村患者和农村眼科子专家外科医生的比例之间存在着显著的差异.
- 诸如外科医生的性别和毕业年等因素影响农村实践地点.
- 这种分配不当可能会给农村人口在获得专业眼科护理方面带来挑战.
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