When physician supply does not meet patient demand: A looming epidemic in vascular and renal care for a community with the highest incidence of end-stage renal disease in the United States.

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2024-08-16 DOI:10.1016/j.amjsurg.2024.115906

Valentine S Alia, Toluwani Akinpelu, Aaron Dadzie, Shuaibahmed Arab, Robert Sanchez, Aaron Silva, Christian D Cerecedo Lopez, Daniel Albo

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引用次数: 0

Abstract

Background: South Texas and the Rio Grande Valley (RGV) are medically underserved-communities near the Texas-Mexico border with the highest incidence of end-stage renal disease (ESRD) in the nation, and a shortage of available full-time equivalent (FTE) specialty-physicians.

Methods: Data on the incidence/prevalence of ESRD and workforce projections on vascular-surgeons and nephrologists were collected from the United States Renal Data System and Texas Department of State Health Services. We then merged data from both datasets to identify population-specific healthcare-trends.

Results: Texas had the highest rates of ESRD from 2016 to 2020, with its border regions leading the state. By 2032, vascular-surgery and nephrology are projected to have the 1st and 4th worst physician-shortages in the state respectively, with the percentage of these FTE specialty-physicians available to meet the need of the RGV ranging from 42.3 to 58.4 %.

Conclusions: The RGV is experiencing increased rates of ESRD, while having a paradoxical-decline in specialty-physicians available to provide adequate care.

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当医生供应无法满足患者需求时：在一个美国终末期肾病发病率最高的社区，血管和肾病护理领域即将出现流行病。

背景：得克萨斯州南部和里奥格兰德河谷（RGV）靠近得克萨斯州和墨西哥边境，是医疗服务不足的社区，其终末期肾病（ESRD）发病率居全美之首，但现有相当于全职（FTE）的专科医师却十分短缺：方法：我们从美国肾脏数据系统和得克萨斯州卫生服务部收集了有关 ESRD 发病率/流行率的数据以及血管外科医生和肾病医生的劳动力预测数据。然后，我们合并了这两个数据集的数据，以确定特定人群的医疗趋势：结果：从 2016 年到 2020 年，得克萨斯州的 ESRD 患病率最高，其中边境地区居首位。预计到 2032 年，血管外科和肾脏科的医生短缺率将分别位居全州第一和第四位，这些全职专科医师可满足 RGV 需求的比例从 42.3% 到 58.4% 不等：结论：RGV 的 ESRD 患病率在不断上升，而可提供适当医疗服务的专科医师却在不断减少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.