在北卡罗来纳州，普通外科医生的劳动力密度与县或医院服务区域水平的治疗发病率无关

IF 2.7 3区医学 Q1 SURGERY American journal of surgery Pub Date : 2025-04-01 Epub Date: 2025-02-03 DOI:10.1016/j.amjsurg.2025.116231

Mustafa Abid , Mark Holmes , Anthony Charles

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引用次数: 0

摘要

一般外科医生劳动力密度（WFD）用于估计手术通路。治疗发生率比（TIR）提供了一种衡量护理可及性的新方法。TIR与普通外科医生WFD的关系尚未得到评估。研究设计：北卡罗来纳州住院患者出院回顾性队列研究（2016-2019）。采用调整后的线性和逻辑回归分析普外科疾病县与医院服务区域（HSA） tir之间的关系。结果调整相关协变量后，县普外科医生WFD和TIR (- 0.0009, 95% CI -0.028,0.026；p 0.95)和HSA普外科WFD和TIR (0.008, 95% CI -0.021,0.037；P 0.58)无统计学意义相关。一个县的几率为0.91 (95% CI 0.42,1.97；p 0.82)或HSA (or 0.93, 95% CI 0.43,2.04；p 0.86)，高TIR与WFD无关。结论普通外科医生的WFD与普通外科疾病的特定手术率无关，与HSA水平无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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General surgeon workforce density is not associated with treatment-incidence ratios at the county or hospital service area level in North Carolina

Background

General Surgeon Workforce Density (WFD) is used to approximate surgical access. Treatment-incidence ratios (TIR) provide a novel measure of care access. TIR's association with General Surgeon WFD has not been evaluated.

Study design

Retrospective cohort study of North Carolina inpatient discharges (2016–2019). The association between county and Hospital Service Area (HSA) TIRs for general surgical diseases was analyzed using adjusted linear and logistic regression.

Results

When adjusting for pertinent covariates, county General Surgeon WFD and TIR (−0.0009, 95 % CI -0.028,0.026; p 0.95) and HSA General Surgeon WFD and TIR (0.008, 95 % CI -0.021,0.037; p 0.58) were not statistically significantly associated. The odds of a county 0.91 (95 % CI 0.42,1.97; p 0.82) or HSA (OR 0.93, 95 % CI 0.43,2.04; p 0.86) having a high TIR was not associated with WFD.

Conclusion

General Surgeon WFD is not associated with disease-specific procedural rates of common surgical conditions at the county or HSA level.

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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.