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美国远程医疗医生的地理空间分析
Ryan J Crowley1, Jag S Lally2, David M Kline3
1Department of Population Health, New York University Grossman School of Medicine, New York City, New York, USA.
远程医疗医生不太可能在农村地区执业,这可能会加剧医疗保健差距. 这项研究分析了医生分布,以确定服务不足的地区需要有针对性的干预措施,以获得更好的远程医疗.
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) 是一个地理信息系统.
- 公共卫生 公共卫生
背景情况:
- 远程医疗为增加医疗保健准入提供了潜在的解决方案,特别是对于农村人口来说.
- 地理空间分析对于了解医疗保健服务的分布至关重要.
- 在获得医疗保健方面,城乡差异仍然存在,需要有针对性的解决方案.
研究的目的:
- 为了对美国远程医疗医生进行地理空间分析.
- 检查远程医疗医生分布的城乡和专业水平差异.
- 确定具有远程医疗医生密度较低的地理集群.
主要方法:
- 利用医生和临床医生国家可下载文件来获取医生数据.
- 使用农村-城市连续代码评估城乡差异.
- 采用空间聚类和合乐图来可视化远程医疗医生分布.
主要成果:
- 在660,537名医生中,有136,462名 (20.7%) 提供远程医疗服务.
- 提供远程医疗的医生在农村地区执业的可能性明显低 (p < 0.001).
- 确定了远程医疗医生密度较低的集群,特别是在美国南部.
结论:
- 远程医疗医生集中在非农村地区,可能会扩大医疗保健差距.
- 农村和服务不足的地区在获得远程医疗服务方面面临挑战.
- 需要采取干预措施,在服务不足的农村地区提高远程医疗的可用性.
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