From far and wide: Geographic distance to pediatric surgical care across Canada.

Autor: McEvoy CS; Department of Surgery, Naval Medical Center Portsmouth, Portsmouth, VA; Department of Heath Analysis, Navy and Marine Corps Public Health Center, Portsmouth, VA. Electronic address: christian.s.mcevoy.mil@mail.mil., Ross-Li D; Dig Data Science, Norfolk, VA., Norris EA; Department of Surgery, Naval Medical Center Portsmouth, Portsmouth, VA., Ricca RL; Department of Surgery, Naval Medical Center Portsmouth, Portsmouth, VA; Department of Pediatric Surgery, Naval Medical Center Portsmouth, Portsmouth, VA., Gow KW; Departments of Surgery, General and Thoracic Surgery, Seattle Children's Hospital, Seattle, WA.
Jazyk: angličtina
Zdroj: Journal of pediatric surgery [J Pediatr Surg] 2020 May; Vol. 55 (5), pp. 908-912. Date of Electronic Publication: 2020 Jan 31.
DOI: 10.1016/j.jpedsurg.2020.01.036
Abstrakt: Purpose: Canada is the second largest country in the world, with most of the population located in the southern-most portion of its geography. We sought to define the relative distribution of pediatric surgeons to potential pediatric patients using data from the Canadian census.
Methods: The 2011 Canadian Census and a convenience sample of current Canadian pediatric surgeons were used to calculate straight-line distances between pediatric surgeon postal code centroids and census dissemination block centroids.
Results: Currently, there are 74 practicing pediatric surgeons in Canada; 493,345 populated census blocks were identified, and 7,752,075 children were enumerated. The median (IQR) kilometers to the closest pediatric surgeon was 27.99 (11.35, 85.47) kilometers, and 22.7% of Canadian children lived more than 100 km from care. Nearly 13% of children lived greater than 200 km from the nearest pediatric surgeon.
Conclusion: More than 1.7 million Canadian children, nearly one quarter of all Canadian children, live greater than 100 km from the closest pediatric surgeon. This identifies a disparate group of patients who do not have an equal access-to-care as compared to others in the country.
Level of Evidence: Level IV.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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