Document Detail


Doctors within borders: the potential benefit of otolaryngology "medical missions" at home.
MedLine Citation:
PMID:  21225737     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVES: Describe the population, Medicaid, uninsured, and otolaryngology practice demographics for seven representative rural southeastern states, and propose academic affiliated outreach clinics as a service to help meet the specialty care needs of an underserved rural population, based on the "medical mission" model employed in international outreach clinics.
STUDY DESIGN: Needs assessment.
METHODS: Review of medical licensing and practice location data from state medical licensing authorities, together with population, Medicaid, and uninsured data from state health/human services departments and the U.S. Census Bureau.
RESULTS: Of the states examined, 38-74% of the population lives outside major state metropolitan areas, and 23-47% reside in a county in which there are no practicing otolaryngologists. These rural areas contain from 43-75% of the states' Medicaid recipients as well as 37-77% of the uninsured residents.
CONCLUSIONS: Borrowing design elements from the international outreach clinics which involve many US otolaryngologists, a similar "medical mission" model could be of benefit domestically. There are rural areas of the southeast where visiting outreach clinics could improve access to otolaryngology care, and facilitate effective use of existing "safety net" healthcare resources.
Authors:
Ryan Winters; Anna Pou; Paul Friedlander
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  120 Suppl 4     ISSN:  1531-4995     ISO Abbreviation:  Laryngoscope     Publication Date:  2010  
Date Detail:
Created Date:  2011-01-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S139     Citation Subset:  IM    
Affiliation:
Tulane University Department of Otolaryngology, LA, USA.
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