在美国获得产科护理的地理差异
Valerie Chen1, Xiaohan Ying, Elleana Majdinasab
1Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota; and the Department of Internal Medicine, Weill Cornell Medicine, New York, New York.
美国近一半的县缺乏妇产科医生 (妇产科医生),这不成比例地影响了非大都市地区,并加剧了获得产妇护理的不平等. 这凸显了对政策解决方案的迫切需要.
科学领域:
- 医疗接入和健康公平 医疗接入和健康公平
- 农村健康差异 农村健康差异
- 孕产妇保健研究 孕产妇保健研究
背景情况:
- 获得妇产科医生 (妇产科医生) 的服务对于公平的孕产妇医疗保健至关重要.
- 在美国,产妇科医生分布存在显著差异.
- 了解这些地理和社会经济因素是解决护理差距的关键.
研究的目的:
- 分析了美国各县的妇产科医生分布情况.
- 确定缺乏妇产科医生服务的县的特点.
- 为改善母婴护理准入的政策制定提供信息.
主要方法:
- 使用卫生资源和服务管理局数据进行横截面研究.
- 对美国3,143个县进行分析,以确定产妇科医生的存在.
- 具有和没有妇产科医生的县之间的人口和社会经济因素的比较.
主要成果:
- 46.9%的美国县 (3,143个县中有1473个) 没有妇产科医生.
- 没有妇产科医院的县更有可能是非大都市,收入中位数较低,白人居民比例较高.
- 只有7.0%的缺乏妇产科医生的县报告有助产士.
结论:
- 在美国,妇产科医生分配的显著不平等仍然存在.
- 获得孕产妇护理是一个关键问题,特别是在服务不足的农村地区.
- 有创意的政策干预是必要的,以确保平等获得妇产科服务,并改善产妇护理结果.
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