地理趋势和头部和部培训外科医生的地理空间分析
Jad Zeitouni1,2, Harry May2, Hannah Seo2
1Massachusetts Eye and Ear, Department of Otolaryngology-Head and Neck Surgery, Boston, Massachusetts, USA.
Head & neck
|August 14, 2025
概括
受过奖学金培训的头癌症外科医生集中在城市地区,为农村患者创造了机会差距. 这种地理分布凸显了美国各地服务不足地区的关怀中的关键差距.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在美国,获得耳鼻喉科和癌症护理的机会存在显著差异.
- 经过奖学金培训的头癌 (HNC) 外科医生的地理分布在很大程度上仍然没有特征.
研究的目的:
- 为绘制奖学金培训的HNC外科医生的地理分布图.
- 根据外科医生的位置确定HNC护理获取的潜在差异.
主要方法:
- 分析美国头协会 (AHNS) 奖学金毕业生 (1997-2022) 的横截面研究.
- 使用地理空间和统计分析来确定实践地点和培训区域的相关性.
主要成果:
- 大多数 (622/688) 毕业生在美国或加拿大实践,通常在他们的培训地区附近.
- 外科医生集中在城市地区,美国有152个县的人口密度高于预期.
- 在美国东南部,南部边境和西部州确定了服务不足的地区.
结论:
- 受过奖学金培训的HNC外科医生主要在城市中心执业.
- 农村和服务不足的地区面临着有限的专业HNC护理.
- 有针对性的干预措施是必要的,以减轻这些地理差异的护理.
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