• Corpus ID: 11391859

Geographical Imbalance of Anesthesia Providers and its Impact On the Uninsured and Vulnerable Populations.

@article{Liao2015GeographicalIO,
  title={Geographical Imbalance of Anesthesia Providers and its Impact On the Uninsured and Vulnerable Populations.},
  author={C Jason Liao and Jihan A. Quraishi and Lorraine M. Jordan},
  journal={Nursing economic\$},
  year={2015},
  volume={33 5},
  pages={
          263-70
        }
}
The purpose of this study was to determine if there is a relationship between socioeconomic factors related to geography and insurance type and the distribution of anesthesia provider type. Using the 2012 Area Resource File, the correlation analyses illustrates county median income is a key factor in distinguishing anesthesia provider distribution. Certified registered nurse anesthetists (CRNAs) correlated with lower-income populations where anesthesiologists correlated with higher-income… 

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References

SHOWING 1-10 OF 31 REFERENCES
Distribution of US anesthesia providers and services.
TLDR
This study describes the correlation between anesthesia providers by type (Certified Registered Nurse Anesthetist [CRNA] or anesthesiologist] and their respective rural or urban distributions across America and indicates that out of a total of 3,140 counties, there are 843 counties where neither anesthesiologists nor CRNAs reside.
Anesthesia provider model, hospital resources, and maternal outcomes.
TLDR
Hospitals that use onlyCRNAs, or a combination of CRNAs and anesthesiologists, do not have systematically poorer maternal outcomes compared with hospitals using anesthesiologist-only models.
Cost effectiveness analysis of anesthesia providers.
TLDR
Research and analyses indicate that CRNAs are less costly to train than anesthesiologists and have the potential for providing anesthesia care efficiently, and will be a key to containing costs while maintaining quality care.
Expansion of coverage under the Patient Protection and Affordable Care Act and primary care utilization.
TLDR
The PPACA's health insurance expansion parameters are expected to significantly increase the use of primary care, and policymakers may consider creating stronger financial incentives to attract medical school students to primary care and changing the delivery of care in ways that lead to operational improvements, higher throughput, and better quality of care.
Understanding Advanced Practice Registered Nurse Distribution in Urban and Rural Areas of the United States Using National Provider Identifier Data
TLDR
This study examined APRN distribution using the 2010 Centers for Medicare and Medicaid Services (CMS) National Provider Identifier (NPI) data and described national and state-level rural and urban distribution and identified factors associated with rural practice.
The geographic distribution of physicians revisited.
TLDR
Geographic access to physicians has continued to improve over the past two decades, although some smaller specialties have not diffused to the most rural areas, and current measures of geographic access overstate the extent of maldistribution.
States with the least restrictive regulations experienced the largest increase in patients seen by nurse practitioners.
TLDR
It is found that between 1998 and 2010 the number of Medicare patients receiving care from NPs increased fifteenfold, and states with the least restrictive regulations of NP practice had a 2.5-fold greater likelihood of patients' receiving their primary care from EMTs by 2010.
Status of the Anesthesia Workforce in 2011: Evolution During the Last Decade and Future Outlook
TLDR
Anesthesiologist supply constrained by small graduation growth combined with generation- and gender-based decrements in workforce contribution is unlikely to keep pace with the substantial population and public policy–generated growth in demand for service, even in the face of productivity improvements and innovation.
...
1
2
3
4
...