小儿外科边境保健：得克萨斯州南部社区可能供不应求。

IF 2.7 3区医学 Q1 SURGERY American journal of surgery Pub Date : 2024-08-19 DOI:10.1016/j.amjsurg.2024.115908

Toluwani Akinpelu, Aaron I Dadzie, Victoria M Jacobsen, Valentine S Alia, Nikhil R Shah, Edward M Diaz, Daniel Bolton

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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。

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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.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

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.