美国医生年龄的城乡差异
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.
概括
农村医生比城市医生要年长,特别是在某些专业和地区. 农村地区医生人口老龄化可能会加剧现有的医疗保健差距.
科学领域:
- 医疗保健中的差异
- 医生人口统计学
- 农村的健康 农村的健康
背景情况:
- 在获得医疗保健和医疗保健结果方面,城乡差异得到了充分证实.
- 医生劳动力的人口统计特征,包括年龄,对于了解医疗保健服务至关重要.
- 对于不同专业的农村与城市医生的年龄分布,人们知之甚少.
研究的目的:
- 为了比较在城市和农村地区执业的医生的年龄.
- 确定城市和农村医生之间的专业级和县级年龄差异.
- 分析医生农村和年龄之间的关联.
主要方法:
- 与医生和临床医师国家档案 (2008-2021) 连接医疗保险提供者实践和专业数据 (MD-PPAS).
- 使用农村-城市连续代码 (RUCC) 将县分为城市,大型农村,小型农村和孤立的农村.
- 采用合乐图,空间聚类和无变量回归来分析医生的年龄和农村地区.
主要成果:
- 这项研究包括571,886名医生.
- 农村县的医生比城市县的医生年龄更大 (平均年龄:53.1-53.5岁) (52.5岁;p <0.001).
- 老年医生集中在农村地区 (OR:3.8),特别是在南方,而年轻医生则在山区西部和中西部,与宽带接入有关.
结论:
- 农村医生平均年龄大于城市医生,在特定专业和地区的年龄差异显著.
- 农村医生劳动力老龄化可能会加剧现有的城乡医疗保健不平等.
- 需要针对特定地区和专业的农村医生制定有针对性的招聘和保留战略,以解决这些差异.
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