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Erschienen in: Clinical Orthopaedics and Related Research® 10/2013

01.10.2013 | Clinical Research

Longitudinal Urban-Rural Discrepancies in the US Orthopaedic Surgeon Workforce

verfasst von: Michael C. Fu, BS, Rafael A. Buerba, BA, Jordan Gruskay, BA, Jonathan N. Grauer, MD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 10/2013

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Abstract

Background

It is unclear whether the supply of orthopaedic surgeons can meet the needs of a growing and aging population. This may be especially concerning in rural areas where there are known disparities in overall healthcare provision.

Questions/purposes

We therefore (1) determined urban-rural trends in the US physician and orthopaedic workforce (including the age of that workforce) from 1995 to 2010; (2) geographically mapped the physician and orthopaedic distribution; and (3) examined urban-rural changes in select nonorthopaedic musculoskeletal provider (chiropractor and podiatrist) workforces from 2000 to 2010.

Methods

County-level provider data from 1995 to 2010 were obtained from the Department of Health and Human Services. This was aggregated to Hospital Referral Regions and ranked by Rural-Urban Continuum Code. Hospital Referral Region-level data were mapped to identify geographic trends. Total physician and orthopaedic surgeon workforce data were averaged across the most urban and rural regions for the study period.

Results

There were urban-rural discrepancies in the physician and orthopaedic workforce from 1995 to 2010 with fewer orthopaedic surgeons in rural areas than urban areas (6.52 versus 8.73 per 100,000 in 2010; p = 0.001). Furthermore, orthopaedic surgeons in rural areas were older than their urban counterparts, with a workforce age ratio (age > 55: age < 55 years) of 0.92 versus 0.65 in 2010 (p = 0.024). From 2000 to 2010, the rural chiropractor and podiatrist workforces showed tremendous growth of 229.6% and 279.9%, respectively.

Conclusions

There were significant urban-rural orthopaedic surgeon workforce discrepancies from 1995 to 2010. Concurrent growth in chiropractor and podiatrist numbers shows significant trends in the musculoskeletal provider workforce that warrant continuing observation and analysis.

Level of Evidence

Level IV, economic and decision analyses. See Guidelines for Authors for a complete description of levels of evidence.
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Metadaten
Titel
Longitudinal Urban-Rural Discrepancies in the US Orthopaedic Surgeon Workforce
verfasst von
Michael C. Fu, BS
Rafael A. Buerba, BA
Jordan Gruskay, BA
Jonathan N. Grauer, MD
Publikationsdatum
01.10.2013
Verlag
Springer US
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 10/2013
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-013-3131-3

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