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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
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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
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Journal Article
General surgeon workforce density is not associated with treatment-incidence ratios at the county or hospital service area level in North Carolina
2025
Overview
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.
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.
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.
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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•General surgeon workforce density is often used as a proxy for surgical access or treatment.•A single-state, retrospective analysis of inpatient discharges from 2016 to 2019 evaluated treatment rates for common surgical disease, and their association with local general surgeon workforce density.•There was no association between treatment rates of common surgical diseases and general surgeon workforce density.
Publisher
Elsevier Inc,Elsevier Limited
Subject
/ Aged
/ Density
/ Disease
/ Female
/ Health Services Accessibility - statistics & numerical data
/ Health Workforce - statistics & numerical data
/ Hernias
/ Humans
/ Male
/ North Carolina - epidemiology
/ Patients
/ Ratios
/ Surgeons
/ Surgeons - supply & distribution
/ Surgery
/ Surgical Procedures, Operative - statistics & numerical data
