Fryer G E, Stine C, Vojir C, Miyoshi T, Miller M
University of Colorado Health Sciences Center, Denver 80220, USA.
J Rural Health. 1997 Summer;13(3):190-5. doi: 10.1111/j.1748-0361.1997.tb00842.x.
This paper reports the results of an analysis of the American Medical Association Masterfile. The purpose of this study was to examine changes in health care accessibility in rural Colorado from 1992 to 1995, and to describe the pattern of in-migration of physicians to nonmetropolitan statistical area counties of the state during that period. The number of direct patient care providers increased from 532 to 700 (31.6%) during the three-year period vs. a growth of 11.2 percent in the general population of nonmetropolitan statistical area counties. Of the 700 physicians serving residents of Colorado's 52 rural counties, 308 (44%) had been practicing in their community since 1992. The rate of departure from nonmetropolitan statistical area practice sites in 1992 was 26.4 percent (140 of 532). Physicians new to their rural practice locations were younger and proportionally more female, but they were similar in primary medical specialty to doctors who had remained in their 1992 sites. Population to physician and to primary care physician ratios were much more favorable for 1995 than for 1992. Accessibility to care was most improved in counties with fewer than 10,000 inhabitants.
本文报告了对美国医学协会主文件的分析结果。本研究的目的是考察1992年至1995年科罗拉多州农村地区医疗保健可及性的变化，并描述该时期内科医生迁入该州非都市统计区各县的模式。在这三年期间，直接提供患者护理的人员数量从532人增加到700人（增长了31.6%），而非都市统计区各县的总人口增长了11.2%。在为科罗拉多州52个农村县居民服务的700名医生中，有308名（44%）自1992年以来一直在其所在社区执业。1992年离开非都市统计区执业地点的比率为26.4%（532人中的140人）。刚到农村执业地点的医生更年轻，女性比例也更高，但他们在主要医学专业方面与1992年就留在原地点的医生相似。1995年的人口与医生以及人口与初级保健医生的比率比1992年有了很大改善。居民人数不足1万的县，医疗保健的可及性改善最为明显。
