The Influence of Visiting Consultant Clinics on Measures of Access to Cancer Care: Evidence from the State of Iowa

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초록

ObjectiveTo determine the effect of visiting consultant clinics on measures of access to cancer care for rural patients. Data Sources2010 Visiting Medical Consultant Database for the state of Iowa (Carver College of Medicine) and the Iowa Physicians Information System (Carver College of Medicine). Study DesignWe compared shortest driving times to the nearest medical oncologist for all Iowa census tracts under two scenarios: including only primary practice locations and adding monthly visiting consultant clinic locations. Principal FindingsFor rural Iowans, the median driving time to the closest site for medical oncology care falls from 51.6 to 19.2minutes when monthly visiting consultant clinics are considered. ConclusionsIncluding visiting consultant clinics has a significant impact on measures of geographic access to cancer care.

키워드

Rural; access; cancer; medical oncologists; RURAL HOSPITAL COMMUNITIES; HEALTH-CARE; GEOGRAPHIC ACCESS; OUTREACH PROGRAM; BREAST-CANCER; UNITED-STATES; POPULATION; DISTANCE; URBAN
제목
The Influence of Visiting Consultant Clinics on Measures of Access to Cancer Care: Evidence from the State of Iowa
저자
Tracy, Roger; Nam, Inwoo; Gruca, Thomas S.
DOI
10.1111/1475-6773.12050
발행일
2013-10
유형
Article
저널명
Health Services Research
권
48
호
5
페이지
1719 ~ 1729