Hixon Allen L, Buenconsejo-Lum Lee E, Racsa C Philip
Department of Family Medicine and Community Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI 96789, USA.
Hawaii J Med Public Health. 2012 Apr;71(4 Suppl 1):31-9.
Access to care for patients in Hawai'i is compromised by a significant primary care workforce shortage. Not only are there not enough primary care providers, they are often not practicing in locations of high need such as rural areas on the neighbor islands or in the Pacific.
This study used geographic information systems (GIS) spatial analysis to look at practice locations for 86 University of Hawai'i Family Medicine and Community Health graduates from 1993 to the 2010. Careful alumni records were verified and entered into the data set using the street address of major employment. Questions to be answered were (1) what percentage of program graduates remain in the state of Hawai'i and (2) what percentage of graduates practice in health professional shortage areas (HPSAs) throughout the United States.
This study found that 73 percent of graduates remain and practice in Hawai'i with over 36 percent working in Health Professional Shortage Areas.
Spatial analysis using GIS residency footprinting may be an important analytic tool to ensure that graduate medical education programs are meeting Hawai'i's health workforce needs.
夏威夷的患者获得医疗服务受到基层医疗劳动力严重短缺的影响。不仅基层医疗服务提供者数量不足，而且他们往往不在需求高的地区执业，如邻岛的农村地区或太平洋地区。
本研究使用地理信息系统（GIS）空间分析来研究1993年至2010年夏威夷大学家庭医学与社区卫生专业86名毕业生的执业地点。仔细核实校友记录，并使用主要就业单位的街道地址将其录入数据集。要回答的问题是：（1）该项目毕业生留在夏威夷州的比例是多少？（2）在美国卫生专业人员短缺地区（HPSA）执业的毕业生比例是多少？
本研究发现，73%的毕业生留在夏威夷并在该州执业，其中超过36%在卫生专业人员短缺地区工作。
使用GIS住院医师足迹进行空间分析可能是确保毕业后医学教育项目满足夏威夷卫生劳动力需求的重要分析工具。
