Obstetrician–Gynecologists in General Practice in New Mexico: A Comparison Between Rural and Metropolitan Counties
| Autor: | William F. Rayburn, Trevor Quiner, Jacquelyn Blackstone |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
obstetrics genetic structures Practice patterns business.industry Rural health education gynecology practice patterns Metropolitan area Geography Obstetrics and gynaecology surveys Family medicine General practice medicine physicians' Original Article rural health Rural area business health care economics and organizations |
| Zdroj: | Women's Health Reports |
| ISSN: | 2688-4844 |
| Popis: | Objective: About one-half of all U.S. counties lack obstetrician–gynecologist (ob-gyns) physicians especially in rural areas. The objective of this study was to use experience in our state to identify demographic and practice characteristics distinguishing ob-gyns in general practice (general ob-gyns) in rural and metropolitan settings. Materials and Methods: This retrospective observational study used self-reported responses by physicians to a mandated survey about demographics and practice patterns at the time of New Mexico medical relicensing. Included in the study were all general ob-gyns in 2016 and 2017. Information about subspecialist ob-gyns and residents who graduated that year was obtained from the American College of Obstetricians and Gynecologists and the Accreditation Council for Graduate Medical Education from 2016 to 2019. Results: Nearly 1 in 3 (84 of 273, 30.8%) general ob-gyns practiced in a rural county. Those in rural settings tended to be older (p = 0.02) and male (p = 0.04). Most had practices in both obstetrics and gynecology. Compared with those in metropolitan counties, general ob-gyns in rural counties practiced in smaller groups (p = 0.0003) and worked 40 hours or more weekly (p = 0.0003). All subspecialists practiced in the most populous metropolitan county. No recent residency graduate practiced rurally in New Mexico. Conclusions: General ob-gyns in New Mexico's rural counties practiced in smaller groups and for longer work hours. Rural ob-gyns tended to be older and male. |
| Databáze: | OpenAIRE |
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