Wynne Michael, Pakhchanian Haig, Raiker Rahul, Batter Timothy, Whalen Michael
George Washington University School of Medicine and Health Sciences, Washington, District of Columbia.
West Virginia University School of Medicine, Morgantown, West Virginia.
Urol Pract. 2023 Mar;10(2):155-160. doi: 10.1097/UPJ.0000000000000385. Epub 2023 Feb 20.
We sought to quantify patient demand for urologists on a state-by-state basis in the United States.
Google Trends data were analyzed from 2004-2019 to determine average relative search volume for the term "urologist" in each state. The 2019 American Urological Association Census was used to determine the number of practicing urologists per state. A per capita concentration of urologists was calculated by dividing the number of providers by the estimated population in each state as reported by the 2019 Census Bureau. Relative search volume values were then divided by the concentration of urologists to estimate a physician demand index for each state scaled 0-100.
The physician demand index was highest in Mississippi (100), Nevada (89), New Mexico (87), Texas (82), and Oklahoma (78). The concentration of urologists per 10,000 people was greatest in New Hampshire (0.537), New York (0.529), and Massachusetts (0.514), and lowest in Utah (0.268), New Mexico (0.248), and Nevada (0.234). Relative search volume was highest in New Jersey (100.00), Louisiana (91.67), and Alabama (87.67), and lowest in Wisconsin (31.17), Oregon (29.17), and North Dakota (28.50).
The findings of this study suggest that demand is greatest in the Southern and Intermountain regions of the United States. Facing a shortage in the urology workforce, these data may aid physicians and policy makers in focusing interventions. These findings may further aid in future job allocation and practice distribution.
我们试图在美国逐个州地量化患者对泌尿科医生的需求。
分析了2004年至2019年谷歌趋势数据，以确定每个州“泌尿科医生”一词的平均相对搜索量。2019年美国泌尿外科学会普查用于确定每个州执业泌尿科医生的数量。通过将医生数量除以2019年人口普查局报告的每个州的估计人口数，计算出泌尿科医生的人均集中度。然后将相对搜索量值除以泌尿科医生的集中度，以估计每个州的医生需求指数，范围为0至100。
医生需求指数在密西西比州（100）、内华达州（89）、新墨西哥州（87）、得克萨斯州（82）和俄克拉何马州（78）最高。每10000人中泌尿科医生的集中度在新罕布什尔州（0.537）、纽约州（0.529）和马萨诸塞州（0.514）最高，在犹他州（0.268）、新墨西哥州（0.248）和内华达州（0.234）最低。相对搜索量在新泽西州（100.00）、路易斯安那州（91.67）和阿拉巴马州（87.67）最高，在威斯康星州（31.17）、俄勒冈州（29.17）和北达科他州（28.50）最低。
本研究结果表明，美国南部和山间地区的需求最大。面对泌尿科劳动力短缺的情况，这些数据可能有助于医生和政策制定者集中干预措施。这些发现可能进一步有助于未来的工作分配和执业分布。
