Academic Journal
The United States dermatology inpatient workforce between 2013 and 2019: a Medicare analysis reveals contraction of the workforce and vast access deserts—a cross-sectional analysis
| العنوان: | The United States dermatology inpatient workforce between 2013 and 2019: a Medicare analysis reveals contraction of the workforce and vast access deserts—a cross-sectional analysis |
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| المؤلفون: | Hydol-Smith, Jourdan A., Gallardo, Matthew A., Korman, Abraham, Madigan, Lauren, Shearer, Sabrina, Nelson, Caroline, Fisher, Kristopher, Hoffman, Kalyn, Dominguez, Arturo, Kaffenberger, Benjamin H. |
| المصدر: | Archives of Dermatological Research ; volume 316, issue 4 ; ISSN 1432-069X |
| بيانات النشر: | Springer Science and Business Media LLC |
| سنة النشر: | 2024 |
| الوصف: | While time spent practicing inpatient dermatology has decreased since the 1990s, less is known about the current state of inpatient dermatology. We describe the distribution and frequency of inpatient dermatology encounters servicing the United States Medicare population between 2013 and 2019. Cross-sectional analysis of publicly available inpatient Medicare Part B claims data from 2013 to 2019 was conducted. Main outcomes and measures were characteristics and trends of dermatologists performing inpatient encounters. Categorical variables were compared using χ 2 analysis. Trends were analyzed for linearity using Pearson correlation coefficient. 782 physicians met inclusion criteria for inclusion. Dermatologists were more often male (56.5%), possessing allopathic Medical Doctorate (MD) (86.3%), and in metropolitan settings (98.2%). However, proportion of female inpatient dermatologists increased significantly (37.9% to 46.2%). Across rural and metropolitan practices, number of inpatient physicians (2013: 356; 2019: 281) and number of medical centers in which dermatology encounters occurred (2013: 239; 2019: 157) decreased, more significantly in non-residency-associated institutions. Spatial analysis revealed wide regions lacking dermatologists meeting defined criteria. Limitations included the need for ten Medicare inpatient encounters for inclusion, counties without reported data. In conclusion, the number of dermatologists performing > 10 inpatient encounters per year is decreasing, and large variations exist in the number of U.S. inpatient dermatology visits. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1007/s00403-024-02845-0 |
| DOI: | 10.1007/s00403-024-02845-0.pdf |
| DOI: | 10.1007/s00403-024-02845-0/fulltext.html |
| الاتاحة: | http://dx.doi.org/10.1007/s00403-024-02845-0 https://link.springer.com/content/pdf/10.1007/s00403-024-02845-0.pdf https://link.springer.com/article/10.1007/s00403-024-02845-0/fulltext.html |
| Rights: | https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0 |
| رقم الانضمام: | edsbas.FC66D5D2 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s00403-024-02845-0 |
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