对美国莫氏显微外科医生分布情况的后 COVID 人口分析。

IF 2.5 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2025-01-01 Epub Date: 2024-07-29 DOI:10.1097/DSS.0000000000004356

Eric C Olsen, Sydney L Proffer, Heidi B Donnelly

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引用次数: 0

摘要

背景：莫氏显微外科委员会认证资格的政策变化以及 COVID-19 大流行后的人口变化对全美莫氏显微外科医生的可及性产生了重大影响：考虑到近期的人口趋势，研究莫氏显微手术提供者的地理分布情况，并评估认证资格变化和人口变化对可及性的影响：方法：利用医疗保险理赔数据来确定显微整形外科医疗机构。按县和州计算出每 10 万人的外科医生密度。利用美国人口普查数据分析了人口变化情况：结果：显微外科医生主要集中在大都市和非大都市地区。总体而言，80.4%的县缺乏显微外科医生，其中农村地区的服务最不充分。各州的人口变化各不相同：结论：显微摄影手术认证要求、美国人口分布和显微摄影外科医生所在地的变化凸显了可及性方面的挑战，尤其是在美国的农村地区。

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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A Post-COVID Population-Based Analysis of Mohs Micrographic Surgeon Distribution in the United States.

Background: Policy changes to Mohs micrographic surgery board certification eligibility and population shifts in the wake of the COVID-19 pandemic have significant implications for the accessibility of Mohs micrographic surgeons across the United States.

Objective: To examine the geographic distribution of micrographic surgery providers considering recent population trends and assess the impact of certification eligibility changes and population shifts on accessibility.

Methods and materials: Medicare claims data were utilized to identify micrographic surgery providers. Surgeon densities were calculated per 100,000 people by county and state. Population changes were analyzed using US census data.

Results: Practicing micrographic surgeons were concentrated in metropolitan and nonmetropolitan areas. Overall, 80.4% of counties lacked micrographic surgery providers, with rural areas being the most underserved. Population changes varied among states.

Conclusion: Shifts in micrographic surgery certification requirements, US population distribution, and micrographic surgeon location emphasize challenges in accessibility, especially in rural areas across the United States.

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.