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美国儿科麻醉医师的现状:人口统计学特征与地理分布

The Current Landscape of US Pediatric Anesthesiologists: Demographic Characteristics and Geographic Distribution.

作者信息

Muffly Matthew K, Muffly Tyler M, Weterings Robbie, Singleton Mark, Honkanen Anita

机构信息

From the *Stanford University Medical Center, Stanford, California; †Denver Health Medical Center, Denver, Colorado; and ‡Department of Natural Resources and Environment, Naresuan University, Phitsanulok, Thailand.

出版信息

Anesth Analg. 2016 Jul;123(1):179-85. doi: 10.1213/ANE.0000000000001266.

Abstract

BACKGROUND

There is no comprehensive database of pediatric anesthesiologists, their demographic characteristics, or geographic location in the United States.

METHODS

We endeavored to create a comprehensive database of pediatric anesthesiologists by merging individuals identified as US pediatric anesthesiologists by the American Board of Anesthesiology, National Provider Identifier registry, Healthgrades.com database, and the Society for Pediatric Anesthesia membership list as of November 5, 2015. Professorial rank was accessed via the Association of American Medical Colleges and other online sources. Descriptive statistics characterized pediatric anesthesiologists' demographics. Pediatric anesthesiologists' locations at the city and state level were geocoded and mapped with the use of ArcGIS Desktop 10.1 mapping software (Redlands, CA).

RESULTS

We identified 4048 pediatric anesthesiologists in the United States, which is approximately 8.8% of the physician anesthesiology workforce (n = 46,000). The median age of pediatric anesthesiologists was 49 years (interquartile range, 40-57 years), and the majority (56.4%) were men. Approximately two-thirds of identified pediatric anesthesiologists were subspecialty board certified in pediatric anesthesiology, and 33% of pediatric anesthesiologists had an identified academic affiliation. There is substantial heterogeneity in the geographic distribution of pediatric anesthesiologists by state and US Census Division with urban clustering.

CONCLUSIONS

This description of pediatric anesthesiologists' demographic characteristics and geographic distribution fills an important gap in our understanding of pediatric anesthesia systems of care.

摘要

背景

在美国,没有关于儿科麻醉医生、他们的人口统计学特征或地理位置的综合数据库。

方法

我们努力通过合并截至2015年11月5日被美国麻醉委员会、国家提供者识别码注册库、Healthgrades.com数据库以及儿科麻醉学会会员名单确定为美国儿科麻醉医生的个体,来创建一个儿科麻醉医生的综合数据库。教授级别通过美国医学院协会和其他在线来源获取。描述性统计描述了儿科麻醉医生的人口统计学特征。使用ArcGIS Desktop 10.1地图软件(加利福尼亚州雷德兰兹)对儿科麻醉医生在城市和州层面的位置进行地理编码并绘制地图。

结果

我们在美国识别出4048名儿科麻醉医生,约占麻醉医生劳动力总数(n = 46,000)的8.8%。儿科麻醉医生的年龄中位数为49岁(四分位间距,40 - 57岁),大多数(56.4%)为男性。约三分之二被识别出的儿科麻醉医生获得了儿科麻醉学专科委员会认证,33%的儿科麻醉医生有明确的学术附属关系。按州和美国人口普查分区划分,儿科麻醉医生的地理分布存在显著异质性,且呈现城市聚集现象。

结论

对儿科麻醉医生人口统计学特征和地理分布的描述填补了我们对儿科麻醉护理系统理解中的一个重要空白。

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