专家分布的地理异质性
Evelyn Gotlieb1, Anne Lally2, Leah J Blank1,3,4
1Icahn School of Medicine at Mount Sinai, New York, NY.
Neurology
|August 26, 2025
概括
在美国的医生供应中存在地理差异. 许多地区,特别是在南方,患者与医生的比例很高,影响了治疗的机会.
科学领域:
- 神经学
- 公共卫生
- 医疗服务研究
背景情况:
- 地理位置是获得医疗保健的关键因素.
- 了解专业医疗专业人员的分布对于公平的护理至关重要.
研究的目的:
- 在全国范围内量化医生的供应和地理分布.
- 确定不同地区和社会经济背景的医生可用性差异.
主要方法:
- 使用美国精神病学和神经病学委员会的数据对活跃认证医生的横截面分析.
- 将医生位置映射到县级数据上,包括区域贫困指数 (ADI) 和城市影响码.
- 根据区域病例估计计算患者与医生的比例.
主要成果:
- 共有2169名活跃的医生被确定.
- 蒙大拿州没有医生,亚利桑那州,佛蒙特州和怀俄明州的供应有限.
- 美国南部的病例负担和患者与医生的比率最高,医生集中在大都市地区,但许多县缺乏专家.
结论:
- 这项研究揭示了子病子专家供应的巨大地理差异.
- 解决这些分配不平等问题对于改善全国治疗质量至关重要.
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