高容量医疗保险卒中取栓治疗提供者特征的近期趋势。
Recent trends in high-volume Medicare stroke thrombectomy provider characteristics.
作者信息
Jayaraman Keshav, Santavicca Stefan, Hughes Danny R, Hirsch Joshua A, Duszak Richard, Chatterjee Arindam R
机构信息
Mallinckrodt Institute of Radiology, Department of Neurosurgery and Department of Neurology, Washington University in St Louis School of Medicine, St Louis, Missouri, USA.
Radiology and Imaging Sciences, Emory University, Atlanta, Georgia, USA.
出版信息
J Neurointerv Surg. 2023 Apr;15(4):399-401. doi: 10.1136/neurintsurg-2021-018611. Epub 2022 Feb 24.
BACKGROUND
Intracranial mechanical thrombectomy (MT) is increasingly indicated for use in acute ischemic stroke patients. We analyzed recent trends in the characteristics and geographic distributions of physicians providing this service with frequency to Medicare beneficiaries.
METHODS
We linked public data sources to elucidate and visualize trends in high-volume MT providers between 2016 and 2019.
RESULTS
High-volume MT providers increased by 184% between 2016 and 2019. The number of neurosurgeons, neurologists, and radiologists in this physician population increased by 251%, 205%, and 139%, respectively. Male practitioners accounted for 96% of providers in the most recent year of analysis. International medical graduates accounted for roughly one-third of these physicians across all 4 years of analysis. As of 2019, the three states with the most high-volume MT providers were Florida, California, and Texas, accounting for 7%, 7%, and 6% of providers, respectively.
CONCLUSIONS
High-volume providers of MT services for Medicare beneficiaries represent a dynamic and rapidly expanding subset of physicians with diverse specialty backgrounds.
背景
颅内机械取栓术（MT）越来越多地被用于急性缺血性中风患者。我们分析了为医疗保险受益人频繁提供此项服务的医生的特征和地理分布的近期趋势。
方法
我们将公共数据源相链接，以阐明并可视化2016年至2019年间高容量MT提供者的趋势。
结果
2016年至2019年间，高容量MT提供者增加了184%。该医生群体中神经外科医生、神经科医生和放射科医生的数量分别增加了251%、205%和139%。在最近一年的分析中，男性从业者占提供者的96%。在所有4年的分析中，国际医学毕业生约占这些医生的三分之一。截至2019年，MT提供者数量最多的三个州是佛罗里达州、加利福尼亚州和得克萨斯州，分别占提供者的7%、7%和6%。
结论
为医疗保险受益人提供高容量MT服务的提供者是一个具有动态变化且迅速扩大的医生子集，他们具有不同的专业背景。
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