General surgeon workforce density is not associated with treatment-incidence ratios at the county or hospital service area level in North Carolina - 08/03/25
, Mark Holmes b, c, Anthony Charles a, bAbstract |
Background |
General Surgeon Workforce Density (WFD) is used to approximate surgical access. Treatment-incidence ratios (TIR) provide a novel measure of care access. TIR's association with General Surgeon WFD has not been evaluated.
Study design |
Retrospective cohort study of North Carolina inpatient discharges (2016–2019). The association between county and Hospital Service Area (HSA) TIRs for general surgical diseases was analyzed using adjusted linear and logistic regression.
Results |
When adjusting for pertinent covariates, county General Surgeon WFD and TIR (−0.0009, 95 % CI -0.028,0.026; p 0.95) and HSA General Surgeon WFD and TIR (0.008, 95 % CI -0.021,0.037; p 0.58) were not statistically significantly associated. The odds of a county 0.91 (95 % CI 0.42,1.97; p 0.82) or HSA (OR 0.93, 95 % CI 0.43,2.04; p 0.86) having a high TIR was not associated with WFD.
Conclusion |
General Surgeon WFD is not associated with disease-specific procedural rates of common surgical conditions at the county or HSA level.
El texto completo de este artículo está disponible en PDF.Graphical abstract |
Highlights |
• | General surgeon workforce density is often used as a proxy for surgical access or treatment. |
• | A single-state, retrospective analysis of inpatient discharges from 2016 to 2019 evaluated treatment rates for common surgical disease, and their association with local general surgeon workforce density. |
• | There was no association between treatment rates of common surgical diseases and general surgeon workforce density. |
Keywords : General surgery, Surgeon workforce, Surgical access
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Vol 242
Artículo 116231- avril 2025 Regresar al número
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