直接初级保健实践是否位于卫生专业人员短缺地区?

IF 4.4 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Neal D Goldstein, Paul Yerkes
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引用次数: 0

摘要

直接初级保健(DPC)是一种依靠收取会员费来提供服务的医疗保健模式;然而,它却被批评为可能会加剧初级保健医生的短缺。我们试图比较美国直接初级保健实践的分布情况与非直接初级保健实践的分布情况,并评估与卫生资源与服务管理局指定的卫生专业人员短缺地区(HPSAs)的重叠情况。我们从公开渠道获取了有关 DPC 诊所、HPSAs 和其他全科医生的数据。我们按照乡村化程度和 HPSA 优先需求分数进行了分层分析。我们发现,与全科医师相比,DPC 诊所在 HPSA 的总体可能性较低,在高优先需求 HPSA 的可能性较低,但在农村或部分农村 HPSA 的可能性较高。在许多服务仍然不足的 HPSA 中,尤其是在城市地区的高优先级 HPSA 中,存在大量发展 DPC 的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Are Direct Primary Care Practices Located in Health Professional Shortage Areas?

Direct primary care (DPC) is a model of health care delivery that relies on membership fees for service; however, it has been criticized as potentially worsening the shortage of primary care physicians. We sought to compare the distribution of DPC practices in the United States to that of non-DPC primary care and assess the overlap with Health Resources and Services Administration designated health professional shortage areas (HPSAs). We mined data from publicly available sources on DPC practices, HPSAs, and other primary care physicians. We stratified analyses by degree of rurality and HPSA priority need scores. We found that DPC practices were less likely to be in HPSAs overall and less likely to be in a high-priority-need HPSA but more likely to be in a rural or partially rural HPSA compared to primary care physicians. There is ample opportunity to grow DPC presence in many HPSAs that remain underserved, especially high-priority HPSAs in urban areas.

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来源期刊
Annals of Family Medicine
Annals of Family Medicine 医学-医学:内科
CiteScore
3.70
自引率
4.50%
发文量
142
审稿时长
6-12 weeks
期刊介绍: The Annals of Family Medicine is a peer-reviewed research journal to meet the needs of scientists, practitioners, policymakers, and the patients and communities they serve.
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