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首页> 外文期刊>Gynecologic Oncology Reports >Geographic disparities in the distribution of the U.S. gynecologic oncology workforce: A Society of Gynecologic Oncology study
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Geographic disparities in the distribution of the U.S. gynecologic oncology workforce: A Society of Gynecologic Oncology study

机译：美国妇科肿瘤学工作人员分布中的地理差异：妇科肿瘤学协会研究

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A recent ASCO workforce study projects a significant shortage of oncologists in the U.S. by 2020, especially in rural/underserved (R/US) areas. The current study aim was to determine the patterns of distribution of U.S. gynecologic oncologists (GO) and to identify provider-based attitudes and barriers that may prevent GOs from practicing in R/US regions. U.S. GOs (n=743) were electronically solicited to participate in an on-line survey regarding geographic distribution and participation in outreach care. A total of 320 GOs (43%) responded; median age range was 35–45years and 57% were male. Most practiced in an urban setting (72%) at a university hospital (43%). Only 13% of GOs practiced in an area with a population<50,000. A desire to remain in academics and exposure to senior-level mentorship were the factors most influencing initial practice location. Approximately 50% believed geographic disparities exist in GO workforce distribution that pose access barriers to care; however, 39% “strongly agreed” that cancer patients who live in R/US regions should travel to urban cancer centers to receive care within a center of excellence model. GOs who practice within 50miles of only 0–5 other GOs were more likely to provide R/US care compared to those practicing within 50miles of ≥10 GOs (p<0.0001). Most (39%) believed the major barriers to providing cancer care in R/US areas were volume and systems-based. Most also believed the best solution was a hybrid approach, with coordination of local and centralized cancer care services. Among GOs, a self-reported rural-urban disparity exists in the density of gynecologic oncologists. These study findings may help address barriers to providing cancer care in R/US practice environments. Highlights ? Geographic disparities exist in the U.S. gynecologic oncology workforce distribution. ? Barriers exist to providing cancer care in rural practice environments. ? Gynecologic oncologists prefer providing cancer care at high volume, urban centers.
机译：ASCO最近的一项劳动力研究预测，到2020年，美国的肿瘤科医生将严重短缺，尤其是在农村/服务欠缺（R / US）地区。当前的研究目的是确定美国妇科肿瘤科医生（GO）的分布方式，并确定可能会妨碍GO在R / US地区执业的基于提供者的态度和障碍。电子邀请美国GO（n = 743）参加有关地理分布和参与外展护理的在线调查。总共有320个GO做出了回应（43％）;中位年龄为35-45岁，男性占57％。大多数人是在城市环境中（72％）在大学医院（43％）执业。只有13％的GO在人口少于50,000的区域内练习。留在学术界和接受高级指导的渴望是影响最初执业地点的最大因素。大约50％的人认为GO劳动力分布中存在地理差异，这给获得医疗服务带来了障碍。然而，有39％的人“强烈同意”居住在R / US地区的癌症患者应前往城市癌症中心，以卓越中心模式接受护理。与仅≥0个GO的50英里内练习的GO相比，仅0-5个其他GO的50英里内练习的GO更有可能提供R / US护理（p <0.0001）。大多数（39％）认为在R / US地区提供癌症护理的主要障碍是数量和系统性。多数人还认为，最好的解决方案是采用混合方法，并协调本地和集中式癌症护理服务。在GO中，妇科肿瘤科医生的密度存在自我报告的城乡差异。这些研究结果可能有助于解决在R / US实践环境中提供癌症护理的障碍。强调 ？美国妇科肿瘤学工作人员分布中存在地理差异。 ？存在在农村实践环境中提供癌症护理的障碍。 ？妇科肿瘤科医生更喜欢在大批量的城市中心提供癌症护理。

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