Toluwani Akinpelu, Aaron I Dadzie, Victoria M Jacobsen, Valentine S Alia, Nikhil R Shah, Edward M Diaz, Daniel Bolton
{"title":"小儿外科边境保健：得克萨斯州南部社区可能供不应求。","authors":"Toluwani Akinpelu, Aaron I Dadzie, Victoria M Jacobsen, Valentine S Alia, Nikhil R Shah, Edward M Diaz, Daniel Bolton","doi":"10.1016/j.amjsurg.2024.115908","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The Rio Grande Valley (RGV) has historically high incidence of congenital defects (CDs) necessitating intervention by pediatric surgical specialties. We examined mortality in this region and related workforce patterns.</p><p><strong>Methods: </strong>Mortality data related to CDs (2007-2021) and surgical workforce trends/projections (2024-2032) were collected using multiple databases: National Vital Statistics System, Texas Department of State Health Services, Texas Medical Board, Center for Disease Control.</p><p><strong>Results: </strong>Nationally, RGV counties rank as high as 5th in CD mortality rates. Between 2020 and 2024, 3 of 4 studied pediatric surgical specialties experienced stagnant/decreasing workforces ranging from 0 to 66 %. Furthermore, the RGV is projected to have some of the most marked state-wide disparities in surgical providers over the next 8 years.</p><p><strong>Conclusion: </strong>High infant mortality rates along with ongoing and future shortages of surgical specialists is concerning. These results may inform allocation of public health resources and workforce distribution to improve outcomes.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pediatric surgical border health: Supply may not be meeting demand in South Texas communities.\",\"authors\":\"Toluwani Akinpelu, Aaron I Dadzie, Victoria M Jacobsen, Valentine S Alia, Nikhil R Shah, Edward M Diaz, Daniel Bolton\",\"doi\":\"10.1016/j.amjsurg.2024.115908\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>The Rio Grande Valley (RGV) has historically high incidence of congenital defects (CDs) necessitating intervention by pediatric surgical specialties. We examined mortality in this region and related workforce patterns.</p><p><strong>Methods: </strong>Mortality data related to CDs (2007-2021) and surgical workforce trends/projections (2024-2032) were collected using multiple databases: National Vital Statistics System, Texas Department of State Health Services, Texas Medical Board, Center for Disease Control.</p><p><strong>Results: </strong>Nationally, RGV counties rank as high as 5th in CD mortality rates. Between 2020 and 2024, 3 of 4 studied pediatric surgical specialties experienced stagnant/decreasing workforces ranging from 0 to 66 %. Furthermore, the RGV is projected to have some of the most marked state-wide disparities in surgical providers over the next 8 years.</p><p><strong>Conclusion: </strong>High infant mortality rates along with ongoing and future shortages of surgical specialists is concerning. These results may inform allocation of public health resources and workforce distribution to improve outcomes.</p>\",\"PeriodicalId\":7771,\"journal\":{\"name\":\"American journal of surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.amjsurg.2024.115908\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.amjsurg.2024.115908","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
摘要
简介：里奥格兰德河谷（RGV）的先天性缺陷（CD）发病率历来很高，需要小儿外科专业人员进行干预。我们研究了该地区的死亡率和相关的劳动力模式：我们使用多个数据库收集了与 CD 相关的死亡率数据（2007-2021 年）和外科劳动力趋势/预测（2024-2032 年）：方法：通过多个数据库收集与 CD 相关的死亡率数据（2007-2021 年）和外科劳动力趋势/预测（2024-2032 年）：在全国范围内，RGV 各县的 CD 死亡率高居第五位。2020 年至 2024 年期间，在所研究的 4 个儿科外科专科中，有 3 个专科的医务人员数量将停滞不前或减少，幅度从 0% 到 66% 不等。此外，预计在未来 8 年内，RGV 在全州范围内将出现一些最明显的手术提供者差异：结论：婴儿死亡率居高不下，同时外科专家持续短缺，未来也会出现短缺，这令人担忧。这些结果可为公共卫生资源的分配和劳动力的分布提供参考，以改善结果。
Pediatric surgical border health: Supply may not be meeting demand in South Texas communities.
Introduction: The Rio Grande Valley (RGV) has historically high incidence of congenital defects (CDs) necessitating intervention by pediatric surgical specialties. We examined mortality in this region and related workforce patterns.
Methods: Mortality data related to CDs (2007-2021) and surgical workforce trends/projections (2024-2032) were collected using multiple databases: National Vital Statistics System, Texas Department of State Health Services, Texas Medical Board, Center for Disease Control.
Results: Nationally, RGV counties rank as high as 5th in CD mortality rates. Between 2020 and 2024, 3 of 4 studied pediatric surgical specialties experienced stagnant/decreasing workforces ranging from 0 to 66 %. Furthermore, the RGV is projected to have some of the most marked state-wide disparities in surgical providers over the next 8 years.
Conclusion: High infant mortality rates along with ongoing and future shortages of surgical specialists is concerning. These results may inform allocation of public health resources and workforce distribution to improve outcomes.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
