美国睡眠外科医生劳动力的地理空间分析

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Laryngoscope Investigative Otolaryngology Pub Date : 2025-08-20 DOI:10.1002/lio2.70161

Jasmeet Saroya, Amritpal Singh, Jolie L. Chang, Megan L. Durr

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引用次数: 0

摘要

目的本研究调查美国睡眠外科医生分布的地理差异，重点研究区域社会人口统计学特征对阻塞性睡眠呼吸暂停（OSA）手术专科护理的接近程度的影响。方法本研究对在美国执业的睡眠外科医生进行横断面观察性地理空间分析。我们将睡眠外科医生的地理坐标与2020年美国的社会人口统计数据联系起来人口普查局和2021年美国社区调查。多变量泊松回归分析用于检查睡眠外科医生密度的预测因子和邮政编码制表区域的存在。结果分析纳入205名睡眠外科医生。睡眠外科医生的密度在城市和沿海地区较高。睡眠外科医生也更有可能在非公民（AOR = 1.067, p < 0.001）和非白人人口（AOR = 1.017, p < 0.001）比例较高的地区执业。睡眠外科医生在无保险患者比例较大（AOR = 0.926, p < 0.001）和老年患者比例较大（AOR = 0.964, p = 0.001）的地区执业的可能性较小。结论睡眠外科医生的分布存在明显的地理和人口差异，特别是农村地区睡眠外科医生稀缺，老年人和无保险人口较多的地区睡眠外科医生较少。这些差异突出表明，需要有针对性的干预措施，以增加获得专门的阻塞性睡眠呼吸暂停症护理的机会，特别是在服务不足的地区。解决这些不平等的有效策略对于公平的医疗服务和改善美国OSA患者的健康结果至关重要。

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A Geospatial Analysis of the Sleep Surgeon Workforce in the United States

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A Geospatial Analysis of the Sleep Surgeon Workforce in the United States

Objective

This study investigates the geographic disparities in the distribution of sleep surgeons in the United States, focusing on the influence of regional sociodemographic characteristics on the proximity of specialized care for obstructive sleep apnea (OSA) surgery.

Methods

This study is a cross-sectional observational geospatial analysis of sleep surgeons practicing in the United States. We correlated geographic coordinates of sleep surgeons with sociodemographic data from the 2020 U.S. Census Bureau and the 2021 American Community Surveys. Multivariate Poisson regression analyses were used to examine predictors of sleep surgeon density and presence across ZIP Code Tabulation Areas.

Results

Analysis included 205 sleep surgeons. The density of sleep surgeons was higher in urban and coastal areas. Sleep surgeons were also more likely to practice in locations with higher percentages of non-citizen (AOR = 1.067, p < 0.001) and non-White populations (AOR = 1.017, p < 0.001). Sleep surgeons were less likely to practice in areas with greater proportions of uninsured patients (AOR = 0.926, p < 0.001) and elderly patients (AOR = 0.964, p = 0.001).

Conclusion

Significant geographic and demographic disparities exist in the distribution of sleep surgeons, particularly marked by a scarcity of sleep surgeons in rural areas and fewer sleep surgeons in areas with larger elderly and uninsured populations. These disparities highlight the need for targeted interventions to enhance access to specialized OSA care, especially in underserved areas. Effective strategies to address these inequalities are crucial for equitable healthcare delivery and improving health outcomes for OSA patients across the U.S.