A look at the gynecologic oncologist workforce - Are we meeting patient demand?
A look at the gynecologic oncologist workforce - Are we meeting patient demand?
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DOI：
10.1016/j.ygyno.2021.08.013
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发表时间：
2021-11
影响因子：
4.7
通讯作者：
Halpern MT
中科院分区：
文献类型：
--
作者：
Ackroyd SA;Shih YT;Kim B;Lee NK;Halpern MT
研究妇科肿瘤学家（GO）的地理分布，并评估GO员工是否满足妇科癌症患者的肿瘤服务需求。我们通过国家供应商标识符（NPI）识别GO，并计算GO的县级密度。县级妇科癌症发病率来自美国癌症统计数据，以代表对GO服务的需求。空间数据图将GO劳动力与妇科癌症服务需求进行了比较。收集并比较了美国人口普查县级人口统计信息。2019年，1，527个GO拥有注册的NPI。在美国的3，142个县中，2，864个（91.2%）县在当地县没有GO，1，943个（61.8%）县在当地或邻近县没有GO。随着各县妇科癌症发病率的增加（以五分位数描述），没有GO或相邻GO的县越来越少。然而，县级GO密度（每10万名妇女的GO数量）并没有随着县级妇科癌症发病率的增加而显著增加（r=-0.12，p=0.06）。生活在妇科癌症发病率最高的县且无法获得GO的妇女更有可能居住在居民收入中位数较低且主要为白色种族的农村地区。在美国有相当数量的县没有GO。随着县级妇科癌症发病率的增加，没有GO的县的比例下降; GO密度并没有随着癌症发病率的增加而增加。妇科发病率高的农村县，GO服务不足。这些信息可以为改善外展和合作的举措提供信息，以更好地满足不同地理区域患者的需求。
to examine the geographic distribution of gynecologic oncologists (GO) and assess if the GO workforce is meeting the demand for oncology services for patients with gynecologic cancers. We identified GO by National Provider Identifiers (NPI) and calculated county-level density of GO. County-level gynecologic cancer rates were derived from the U.S. Cancer Statistics to represent demand for GO services. A spatial data plot compared GO workforce to gynecologic cancer service demand. U.S. census county-level demographic information was collected and compared. In 2019, 1,527 GO had a registered NPI. Of 3,142 counties in the US, 2,864 (91.2%) counties had no GO in their local county and 1,943 (61.8%) counties had no GO in local or adjacent (neighboring) counties. As the gynecologic cancer rate increases (described in quintiles) in counties, there are fewer counties without a GO or adjacent GO. However, county-level GO density (number of GO per 100,000 women) did not significantly increase as the county-level incidence of gynecologic cancer increased (r=−0.12, p=0.06)... Women living in counties with the highest gynecologic cancer rates and without access to a GO were more likely to reside in a rural area where residents had a lower median income and were predominately of White race.. There are a significant number of counties in the U.S. without a GO. As county-level gynecologic cancer incidence increased, the proportion of counties without a GO decreased; GO density did not increase with increasing cancer rates. Rural counties with high gynecologic incidence rates are underserved by GO. This information can inform initiatives to improve outreach and collaboration to better meet the needs of patients in different geographic areas.
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影响因子：
4.7
作者：
Tan, Wei;Stehman, Frederick B.;Carter, Randy L.
通讯作者：
Carter, Randy L.
影响因子：
--
作者：
Bruinooge, Suanna S.;Pickard, Todd A.;Williams, Stephanie F.
通讯作者：
Williams, Stephanie F.
影响因子：
4.7
作者：
Bristow, Robert E.;Chang, Jenny;Vieira, Veronica M.
通讯作者：
Vieira, Veronica M.
影响因子：
4.7
作者：
Mercado, Cheryl;Zingmond, David;Ko, Clifford Y.
通讯作者：
Ko, Clifford Y.
影响因子：
--
作者：
Erikson, Clese;Salsberg, Edward;Goldstein, Michael
通讯作者：
Goldstein, Michael