Rural-Urban Disparities in Otolaryngology: The State of Illinois.
Cross-Sectional Studies
Health Services Accessibility
/ statistics & numerical data
Health Workforce
/ statistics & numerical data
Healthcare Disparities
/ statistics & numerical data
Humans
Illinois
/ epidemiology
Otolaryngology
/ statistics & numerical data
Otorhinolaryngologic Diseases
/ epidemiology
Rural Population
Urban Population
Urbanization
Rural
disparities
otolaryngology
social determinants of health
urban
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
20
01
2020
revised:
24
02
2020
accepted:
29
02
2020
pubmed:
7
4
2020
medline:
29
1
2021
entrez:
7
4
2020
Statut:
ppublish
Résumé
To highlight rural-urban disparities in otolaryngology, and to quantify the disparities in access to otolaryngology specialist care across Illinois. Several studies across disciplines have shown increased prevalence and severity of disease in rural communities, relative to their urban counterparts. There is very little published quantifying a disparity in rural access to otolaryngologists. Population study. Counties in Illinois were classified based on urbanization level on a scale from I (most urban) to VI (least urban) using the 2013 National Center for Health Statistics (NCHS) Urban-Rural Classification scheme. The six urbanization levels include four metropolitan (I-IV) and two nonmetropolitan levels (V and VI). The name and practice location of all registered otolaryngologists in Illinois were collected using the American Academy of Otolaryngology website (ENTnet.org). Population data were recorded from the most recent US Census (2010). Two hundred seventy-eight academy-registered otolaryngologists were identified in Illinois. One hundred fifty-one of these providers were located in a single county categorized as a level I by the NCHS scheme. There are over 18,000 square miles and 600,000 persons living in NCHS level VI counties in Illinois with zero registered otolaryngologists. Overall, metropolitan counties (I-IV) averaged 1.32 otolaryngologists per 100,000 population, whereas nonmetropolitan counties (V and VI) averaged 0.46 otolaryngologists per 100,000 (P < .01). There is a paucity of academy-certified otolaryngologists with primary practice locations in rural counties of Illinois. There is a significant rural population and massive land area with limited spatial access to otolaryngologic specialist care. NA Laryngoscope, 131:E70-E75, 2021.
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E70-E75Informations de copyright
© 2020 The American Laryngological, Rhinological and Otological Society, Inc.
Références
O'Connor A, Wellenius G. Rural-urban disparities in the prevalence of diabetes and coronary heart disease. Public Health 2012;126:813-820.
Singh GK, Williams SD, Siahpush M, Mulhollen A. Socioeconomic, rural-urban, and racial inequalities in US cancer mortality: part I-all cancers and lung cancer and part II-colorectal, prostate, breast, and cervical cancers. J Cancer Epidemiol 2011;2011:107-497.
Singh GK, Siahpush M, Williams SD. Changing urbanization patterns in US lung cancer mortality, 1950-2007. J Community Health 2012;37:412-420.
Zhang H, Dziegielewski PT, Jean Nguyen TT, et al. The effects of geography on survival in patients with oral cavity squamous cell carcinoma. Oral Oncol 2015;51:578-585.
Wang W, Han S, Yao Z, et al. A study of epidemiologic and recurrence factors of oral cancer. J Oral Maxillofac Surg 2012;70:2205-2210.
Kim JD, Firouzbakht A, Ruan JY, et al. Urban and rural differences in outcomes of head and neck cancer. Laryngoscope 2018;128:852-858.
Sharp L, Donnelly D, Hegarty A, et al. Risk of several cancers is higher in urban areas after adjusting for socioeconomic status. Results from a two-country population-based study of 18 common cancers. J Urban Health 2014;91:510-525.
Allareddy V, Konety BR. Characteristics of patients and predictors of in-hospital mortality after hospitalization for head and neck cancers. Cancer 2006;106:2382-2388.
Mackley HB, Teslova T, Camacho F, Short PF, Anderson RT. Does rurality influence treatment decisions in early stage laryngeal cancer? J Rural Health 2014;30:406-411.
Chan S, Hixon B, Adkins M, Shinn J, Bush ML. Rurality and determinants of hearing healthcare in adult hearing aid recipients. Laryngoscope 2017;127:2362-2367.
Hixon B, Chan S, Adkins M, Shinn JB, Bush ML. Timing and impact of hearing healthcare in adult cochlear implant recipients: a rural-urban comparison. Otol Neurotol 2016;37:1320-1324.
Powell W, Jacobs JA, Noble W, Bush ML, Snell-Rood C. Rural adult perspectives on impact of hearing loss and barriers to care. J Community Health 2019;44:668-674.
Cayce KA, Krowchuk DP, Feldman SR, Camacho FT, Balkrishnan R, Fleischer AB. Healthcare utilization for acute and chronic disease of young, school-age children in the rural and non-rural setting. J Clin Pediatr 2005;44:491-498.
Shaheen MM, Nahar S. Comparison of chronic suppurative otitis media in rural and urban primary school children in Bangladesh. J Laryngol Otol 2014;128:499-503.
Hughes CA, McMenamin P, Mehta V, Pillsbury H, Kennedy D. Otolaryngology workforce analysis. Laryngoscope 2016;126:S5-S11.
Vickery TW, Weterings R, Cabrera-Muffly C. Geographic distribution of otolaryngologists in the United States. Ear Nose Throat J 2016;95:218-223.
Winters R, Pou A, Friedlander P. A “medical Mission” at home: the needs of rural America in terms of otolaryngology care. J Rural Health 2011;27:297-301.
U.S. Census Bureau. 2010 Census. Summary File 1, Table P2. Accessed January 14, 2019.
Kiersz A. The most average states in America. Business Insider website. Available at: https://www.businessinsider.com/the-most-average-states-in-america-2014-4. Published April 14, 2014. Accessed February 21, 2020.
Ingram DD, Franco SJ. NCHS urban-rural classification scheme for counties. National Center for Health Statistics. Vital Health Stat 2 2014;166:1-81.
Illinois Health and Hospital Association. Advancing rural health in communities across Illinois. Available at: https://www.team-iha.org/files/non-gated/member-resources/small-rural-hospitals-backgrounder.aspx. Accessed March 7, 2019.
Bruksch-Meck K, Crouse B, Quinn G, McCart L, Traxler K. Graduate medical education initiatives to develop the physician workforce in rural Wisconsin. Wis Med J 2018;117:201-207.
Mian O, Hogenbirk JC, Warry W, Strasser RP. How underserviced rural communities approach physician recruitment: changes following the opening of a socially accountable medical school in northern Ontario. Can J Rural Med 2017;22:139-147.
Verma P, Ford JA, Stuart A, Howe A, Everington S, Steel N. A systematic review of strategies to recruit and retain primary care doctors. BMC Health Serv Res 2016;16:126.
Ward MM, Merchant KAS, et al. Use of telemedicine for ED physician coverage in critical access hospitals increased after CMS policy clarification. Health Aff (Millwood) 2018;37:2037-2044.
Garritano FG, Goldenberg D. Successful telemedicine programs in otolaryngology. Otolaryngol Clin North Am 2011;44:1259-1274.
Philips R, Seim N, Matrka L, et al. Cost savings associated with an outpatient otolaryngology telemedicine clinic. Laryngoscope Investig Otolaryngol 2019;4:234-240.