Geographic distance to pediatric surgical care within the continental United States
Geographic distance to pediatric surgical care within the continental United States
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DOI：
10.1016/j.jpedsurg.2019.02.048
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发表时间：
2019-06-01
影响因子：
2.4
通讯作者：
Ricca, Robert L.
中科院分区：
文献类型：
--
作者：
McEvoy, Christian S.;Ross-Li, Dan;Ricca, Robert L.
目的：儿童外科护理的地理接近度尚未使用十年一次的人口普查进行评估，也没有种族，民族，温和或城市化的变化报告。本研究的目的是描述居住在美国大陆的儿童与儿科外科医生的接近程度，这些变化与2010年美国儿科外科协会成员文件和2010年十年一次的人口普查被用来计算儿科外科医生邮政编码质心和人口普查块质心之间的直线距离。2010年，确定了716名执业小儿外科医生，确定了6，182，882个人口普查区，并对73，690，271名儿童进行了普查。在白色非西班牙裔儿童中，30.1%的人居住在距离护理中心40英里以上的地方。在美国原住民儿童中，40.5%的人居住在距离护理中心60英里以上的地方。在0-5岁的儿童中，距最近的儿科医生的中位数（IQR）英里数为14.2（6.2，39.6），其中3，010，698名儿童的居住地距离护理中心超过60英里。结论：2010年，超过1000万儿童的居住地距离儿科医生超过60英里。在接近小儿外科医生方面存在种族、民族、年龄和城市化差异。这种方法是可行的，以描述与即将到来的2020年十年一次的人口普查的远程护理，并可能有利于未来的儿科医生的分配。爱思唯尔公司出版
Purpose: Geographic proximity to pediatric surgical care has not been evaluated using the Decennial Census nor have racial, ethnic, gentler, or urbanization variations been reported. This study's aim is to describe proximity of children living in the continental U.S. to a pediatric surgeon with respect to these variations.Methods: The 2010 American Pediatric Surgical Association member file and the 2010 Decennial Census were used to calculate straight-line distances between pediatric surgeons zip code centroids and census block centroids.Results: In 2010,716 practicing pediatric surgeons were identified, 6,182,882 populated Census blocks were identified, and 73,690,271 children were enumerated. Of white non-Hispanic children, 30.1% lived greater than 40 miles from care. Of Native American children, 40.5% lived more than 60 miles from care. Among children 0-5 years of age, he median (IQR) miles to closest pediatric surgeon was 14.2 (6.2, 39.6), and 3,010,698 of these children lived more than 60 miles from care.Conclusion: More than 10 million children lived greater than 60 miles from a pediatric surgeon in 2010. Racial, ethnic, age, and urbanization variations in proximity to pediatric surgeons were present. This method is feasible to describe distance-to-care with the upcoming 2020 Decennial Census and may benefit future allocation of pediatric surgeons. Published by Elsevier Inc.