When physician supply does not meet patient demand: A looming epidemic in vascular and renal care for a community with the highest incidence of end-stage renal disease in the United States - 16/01/25
, Toluwani Akinpelu a, Aaron Dadzie a, Shuaibahmed Arab a, Robert Sanchez a, Aaron Silva a, Christian D. Cerecedo Lopez a, b, Daniel Albo a, bAbstract |
Background |
South Texas and the Rio Grande Valley (RGV) are medically underserved-communities near the Texas-Mexico border with the highest incidence of end-stage renal disease (ESRD) in the nation, and a shortage of available full-time equivalent (FTE) specialty-physicians.
Methods |
Data on the incidence/prevalence of ESRD and workforce projections on vascular-surgeons and nephrologists were collected from the United States Renal Data System and Texas Department of State Health Services. We then merged data from both datasets to identify population-specific healthcare-trends.
Results |
Texas had the highest rates of ESRD from 2016 to 2020, with its border regions leading the state. By 2032, vascular-surgery and nephrology are projected to have the 1st and 4th worst physician-shortages in the state respectively, with the percentage of these FTE specialty-physicians available to meet the need of the RGV ranging from 42.3 to 58.4 %.
Conclusions |
The RGV is experiencing increased rates of ESRD, while having a paradoxical-decline in specialty-physicians available to provide adequate care.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The Rio Grande Valley and South Texas have the highest incidence of ESRD in the nation, and it continues to worsen. |
• | Vascular surgeon and nephrologist availability in the region is poor and declining. |
• | The urgent need to recruit and retain specialty physicians in this region highlights a looming epidemic. |
Plan
Vol 240
Article 115906- février 2025 Retour au numéro
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