Geographic Variation in the Supply of Selected Behavioral Health Providers
Geographic Variation in the Supply of Selected Behavioral Health Providers
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DOI：
10.1016/j.amepre.2018.01.004
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发表时间：
2018-06-01
影响因子：
5.5
通讯作者：
Larson, Eric H.
中科院分区：
文献类型：
--
作者：
Andrilla, C. Holly A.;Patterson, Davis G.;Larson, Eric H.
简介：2015年，估计有4340万18岁及以上的美国人患有行为健康问题。准确估计的精神科医生，心理学家和精神科护士执业的数量是需要作为行为health care growth.Methods的需求：国家计划和提供者枚举系统国家提供者标识符数据（2015年10月）被用来检查精神科医生，心理学家和精神科护士执业的供应。供应商被分为三个地理类别的基础上，他们的执业县（大都市，小都市，和非核心）。Claritas 2014年美国人口数据用于计算每种提供者类型的提供者与人口比率。分析于2016年完成。结果：在精神科医生、心理学家和精神科护士从业者的人均供应方面，各人口普查部门存在很大差异。在所有三种供应商类型中，新英格兰人口普查司的人均供应量最高，西南中央人口普查司的供应量最低。在全国范围内，这些供应商的人均供应量在非大都市县比大都市县低得多，但人口普查司的差异在各地理类别中仍然存在。在新英格兰人口普查区（6%）和西北中部人口普查区（69%）之间，缺乏精神病医生的县的比例相差十倍以上。较高比例的非大都市县缺乏一个psychiatris.Conclusions：精神科医生，心理学家，精神科护士从业人员分布不均，在美国各地存在的差异人口普查司和地理类别。了解这种不平等的分布是必要的，以制定方法，以改善获得行为健康服务的服务不足的人群。(C)2018年美国预防医学杂志。爱思唯尔公司出版
Introduction: In 2015, an estimated 43.4 million Americans aged 18 and older suffered from a behavioral health issue. Accurate estimates of the number of psychiatrists, psychologists, and psychiatric nurse practitioners are needed as demand for behavioral health care grows.Methods: The National Plan and Provider Enumeration System National Provider Identifier data (October 2015) was used to examine the supply of psychiatrists, psychologists, and psychiatric nurse practitioners. Providers were classified into three geographic categories based on their practicing county (metropolitan, micropolitan, and non-core). Claritas 2014 U.S. population data were used to calculate provider-to-population ratios for each provider type. Analysis was completed in 2016.Results: Substantial variation exists across Census Divisions in the per capita supply of psychiatrists, psychologists, and psychiatric nurse practitioners. The New England Census Division had the highest per capita supply and the West South Central Census Division had among the lowest supply of all three provider types. Nationally, the per capita supply of these providers was substantially lower in non-metropolitan counties than in metropolitan counties, but Census Division disparities persisted across geographic categories. There was a more than tenfold difference in the percentage of counties lacking a psychiatrist between the New England Census Division (6%) and the West North Central Census Division (69%). Higher percentages of non-metropolitan counties lacked a psychiatrist.Conclusions: Psychiatrists, psychologists, and psychiatric nurse practitioners are unequally distributed throughout the U.S. Disparities exist across Census Divisions and geographic categories. Understanding this unequal distribution is necessary for developing approaches to improving access to behavioral health services for underserved populations. (C) 2018 American Journal of Preventive Medicine. Published by Elsevier Inc.