十年后:在美国使用2022年区域健康资源文件获得了美国整形外科的地理访问权限
Nadeem E Jones1, Alexander F Dagi1, Jarrod T Bogue1
1Division of Plastic Surgery, The New York Presbyterian Hospital, Columbia University Medical Center, New York, NY, United States.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|December 10, 2025
概括
获得整形外科医生仍然是一个重大问题,美国近一半的地区缺乏提供者. 整形外科手术的地理差异仍然存在,这凸显了政策干预的必要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术劳动力分析
- 地理健康 公平 公平
背景情况:
- 整形手术服务在美国的分布不均,特别是在农村和服务不足的地区.
- 之前的研究表明存在差异;这项研究提供了10年的地理分布更新.
研究的目的:
- 用2022年的数据分析美国整形外科医生的地理分布.
- 评估从2012年到2022年获得整形手术服务的纵向变化.
- 检查人口统计和医疗保健基础设施特征对接入的影响.
主要方法:
- 在942个卫生服务区 (HSA) 中计算出整形外科医生密度.
- 按人口和医疗保健基础设施因素分层密度.
- 评估了十年来 (2012-2022) 访问的变化,并分析了实践类型.
主要成果:
- 在2022年,49.9%的HSA缺乏整形外科医生,影响了2590万美国人.
- 全国整形外科医生密度在10年内从每10万人口中的2.42下降到2.14.
- 失去接入的地区的特点是收入较低,农村化较大,人口老龄化,医生较少.
结论:
- 在整形手术的获取方面存在持续的地理差异,美国近一半的地区缺乏本地提供者.
- 不平等是由社会人口统计学和基础设施因素驱动的,而不是实践类型.
- 政策干预,培训改革和农村劳动力激励措施对于解决不平等至关重要.
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