Xierali Imam M
J Health Care Poor Underserved. 2018;29(2):711-722. doi: 10.1353/hpu.2018.0054.
While differences in practice style and costs between family medicine and internal medicine are relatively well known, the differences in geographic distribution between the two remain underexplored. This study aims to examine differences in distribution of family physicians and general internists by geographic and demographic characteristics. Data sources are the 2016 American Medical Association Physician Master File and 2015 American Community Survey. Results show that internists are more dominant in urban areas, especially in the Northeast; they are also more likely to practice in the West and South. Family physicians are more likely to practice in rural areas and primary care Health Professional Shortage Areas than internists; their distribution also varies significantly with respect to areas whose residents are members of racial/ethnic minority groups, live in poverty, and are uninsured. Such differences should be a consideration for planning to address regional and national primary care workforce shortages.
虽然家庭医学和内科医学在执业风格和成本方面的差异相对广为人知，但两者在地理分布上的差异仍未得到充分研究。本研究旨在探讨家庭医生和普通内科医生在地理和人口特征方面的分布差异。数据来源为2016年美国医学协会医师主文件和2015年美国社区调查。结果显示，内科医生在城市地区更为占主导地位，尤其是在东北部；他们也更有可能在西部和南部执业。与内科医生相比，家庭医生更有可能在农村地区和初级保健卫生专业人员短缺地区执业；在居民为少数种族/族裔群体成员、生活贫困且未参保的地区，他们的分布也存在显著差异。在规划解决地区和全国初级保健劳动力短缺问题时，应考虑到这些差异。
