South Dakota Dermatology: Urban vs Rural Wait Times and Dermatologist Density.

Colby Felts, Lauren Ochoa, Marcus Frohm
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Abstract

Background: As of 2019, South Dakota had only 32 registered dermatologists, one per 27,569 people. Wait times for dermatologic care are affected by factors such as socioeconomic status, provider distribution, and patient to provider ratios. This inaccessibility to care or prolonged wait times may lead to diagnosis and treatment delays as well as disease progression. We hypothesized wait times to see a dermatologist would be longer in rural areas than urban areas in South Dakota.

Methods: Dermatology clinics throughout South Dakota were contacted to obtain wait times. An internet search was conducted to develop a list of dermatology providers. A population of 50,000 or greater defined an urban area and a ratio of four dermatologists per 100,000 people was used as an ideal patient to provider ratio.

Results: Overall, 75% of South Dakota's dermatology clinics participated with an equal rural to urban distribution. There was no difference in wait times for new (p=0.787) or established patients (p=0.461) comparing rural and urban clinics. All South Dakota cities with clinics met the goal patient to dermatologist ratio except for Dakota Dunes (included as part of the Sioux City, Iowa, metro population).

Conclusions: The data does not support the hypothesis that wait times for dermatologists would be longer in rural locations than urban locations. Despite adequate dermatologist to patient ratios throughout most of South Dakota, wait times of over six weeks were found at both urban and rural locations, indicating the need for future studies to assess potential solutions for improving timely access to dermatologic care.

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南达科他州皮肤科:城市与农村的候诊时间和皮肤科医生密度。
背景:截至 2019 年,南达科他州仅有 32 名注册皮肤科医生,每 27,569 人中只有一名。皮肤病治疗的等待时间受到社会经济状况、医疗机构分布以及患者与医疗机构比例等因素的影响。无法获得医疗服务或等待时间过长可能会导致诊断和治疗延误以及疾病恶化。我们假设,在南达科他州,农村地区看皮肤科医生的等待时间要长于城市地区:方法: 我们联系了南达科他州的皮肤科诊所,以了解候诊时间。通过互联网搜索,建立了一份皮肤科医疗机构名单。人口在 50,000 或以上的地区被定义为城市地区,每 100,000 人中有四名皮肤科医生的比例被用作理想的患者与医疗机构的比例:总体而言,南达科他州 75% 的皮肤科诊所都参与了该项目,农村和城市的比例相当。农村诊所与城市诊所相比,新病人(P=0.787)或老病人(P=0.461)的等待时间没有差异。除了达科他沙丘(作为爱荷华州苏城的一部分)以外,所有拥有诊所的南达科他州城市都达到了患者与皮肤科医生的目标比例:结论:数据并不支持农村地区皮肤科医生的候诊时间长于城市地区的假设。尽管南达科他州大部分地区的皮肤科医生与病人的比例足够,但在城市和农村地区都发现了等候时间超过六周的情况,这表明今后有必要开展研究,评估改善及时获得皮肤科医疗服务的潜在解决方案。
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0.50
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发文量
62
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