Jun 27, 2019

Rural-Urban Differences in Access to Thoracic Surgery in the United States, 2010 to 2014

The Annals of Thoracic Surgery
Jan M EberthMario Schootman

Abstract

Because of recent lung cancer screening recommendations and corresponding insurance coverage, it is expected that more early stage cases will be identified that require thoracic surgery. However, these services may not be equally available in all regions. Our objective is to describe the availability of thoracic surgeons by examining geographic variation, rural-urban differences, and temporal changes before and after screening recommendation and insurance coverage policy changes. We examined the U.S. thoracic surgery workforce using the 2010 and 2014 Area Health Resource Files. We calculated the density of thoracic surgeons per 100,000 persons for each year at the state and county level. We performed descriptive statistics and developed maps highlighting changes over time and geographic regions. Despite an overall increase in thoracic surgeons from 2010 to 2014, we observed declining density nationwide (1.5% change) and in sparsely populated states. The difference in thoracic surgeon density widened slightly between 2010 from 0.80 per 100,000 compared with 0.84 per 100,000 in 2014 in all rural counties compared with urban counties (P < .001 for both years). The difference in thoracic surgeon density was most pronounced between ...Continue Reading

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Mentioned in this Paper

Health Services
Screening Generic
Thoracic Surgical Procedures
Operative Surgical Procedures
Rural Area
Thoracic Surgeon
Morbidity - Disease Rate
Morbidity - Disease Rate
Morbidity - Disease Rate
Morbidity - Disease Rate

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