Trends in the Geospatial Distribution of Inpatient Adult Surgical Services across the United States
Trends in the Geospatial Distribution of Inpatient Adult Surgical Services across the United States
复制标题
DOI：
10.1097/sla.0000000000003366
复制
发表时间：
2021-01-01
影响因子：
9
通讯作者：
Pawlik, Timothy M.
中科院分区：
文献类型：
--
作者：
Diaz, Adrian;Schoenbrunner, Anna;Pawlik, Timothy M.
目的：这项研究的目的是确定美国外科服务地理分布的趋势，以评估在获得外科护理方面可能存在的地理障碍和差异。背景资料摘要：尽管外科手术的需求和使用率增加，但美国人在获得医疗保健方面经常面临挑战，而医院的关闭和合并可能会加剧这种挑战。尽管相对于保险、种族和健康知识/教育的作用，外科护理的可及性已被评估，但地理和旅行距离与可及性的关系尚未得到很好的研究。方法：使用美国医院协会2005年和2015年的年度调查来确定具有手术能力的医院；数据与2010年人口普查局的数据合并以确定美国人口相对于医院位置的分布，并使用地理空间分析工具来检查每家医院周围的真实驾驶时间的服务区。结果：尽管提供外科服务的医院数量在调查期间略有减少(2005年，n=3791；2015年，n=3391；P
Objective: The aim of this study was to define trends in the geographic distribution of surgical services in the United States to assess possible geographic barriers and disparities in access to surgical care. Summary Background Data: Despite the increased need and utilization of surgical procedures, Americans often face challenges in gaining access to health care that may be exacerbated by the closure and consolidation of hospitals. Although access to surgical care has been evaluated relative to the role of insurance, race, and health literacy/education, the relationship of geography and travel distance to access has not been well studied. Methods: The 2005 and 2015 American Hospital Association annual survey was used to identify hospitals with surgical capacity; the data were merged with 2010 Census Bureau data to identify the distribution of the US population relative to hospital location, and geospatial analysis tools were used to examine a service area of real driving time surrounding each hospital. Results: Although the number of hospitals that provided surgical services slightly decreased over the time periods examined (2005, n = 3791; 2015, n = 3391; P