Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska

Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classifica...
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Gespeichert in:

Autor*in:	Frantzlee LaCrete [verfasserIn] Kendra L. Ratnapradipa [verfasserIn] Kristy Carlson [verfasserIn] Elizabeth Lyden [verfasserIn] Jayme R. Dowdall [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	access to care ENT health disparities Nebraska OHNS oto

Übergeordnetes Werk:	In: Laryngoscope Investigative Otolaryngology - Wiley, 2016, 8(2023), 6, Seite 1602-1606
Übergeordnetes Werk:	volume:8 ; year:2023 ; number:6 ; pages:1602-1606

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1002/lio2.1181

Katalog-ID:	DOAJ099019019

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520			\|a Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans.
650		4	\|a access to care
650		4	\|a ENT
650		4	\|a health disparities
650		4	\|a Nebraska
650		4	\|a OHNS
650		4	\|a oto
653		0	\|a Otorhinolaryngology
653		0	\|a Surgery
700	0		\|a Kendra L. Ratnapradipa \|e verfasserin \|4 aut
700	0		\|a Kristy Carlson \|e verfasserin \|4 aut
700	0		\|a Elizabeth Lyden \|e verfasserin \|4 aut
700	0		\|a Jayme R. Dowdall \|e verfasserin \|4 aut
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allfields	10.1002/lio2.1181 doi (DE-627)DOAJ099019019 (DE-599)DOAJbc838530c23a4d958e1ff7a104954691 DE-627 ger DE-627 rakwb eng RF1-547 RD1-811 Frantzlee LaCrete verfasserin aut Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans. access to care ENT health disparities Nebraska OHNS oto Otorhinolaryngology Surgery Kendra L. Ratnapradipa verfasserin aut Kristy Carlson verfasserin aut Elizabeth Lyden verfasserin aut Jayme R. Dowdall verfasserin aut In Laryngoscope Investigative Otolaryngology Wiley, 2016 8(2023), 6, Seite 1602-1606 (DE-627)856388947 (DE-600)2851702-7 23788038 nnns volume:8 year:2023 number:6 pages:1602-1606 https://doi.org/10.1002/lio2.1181 kostenfrei https://doaj.org/article/bc838530c23a4d958e1ff7a104954691 kostenfrei https://doi.org/10.1002/lio2.1181 kostenfrei https://doaj.org/toc/2378-8038 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2023 6 1602-1606
spelling	10.1002/lio2.1181 doi (DE-627)DOAJ099019019 (DE-599)DOAJbc838530c23a4d958e1ff7a104954691 DE-627 ger DE-627 rakwb eng RF1-547 RD1-811 Frantzlee LaCrete verfasserin aut Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans. access to care ENT health disparities Nebraska OHNS oto Otorhinolaryngology Surgery Kendra L. Ratnapradipa verfasserin aut Kristy Carlson verfasserin aut Elizabeth Lyden verfasserin aut Jayme R. Dowdall verfasserin aut In Laryngoscope Investigative Otolaryngology Wiley, 2016 8(2023), 6, Seite 1602-1606 (DE-627)856388947 (DE-600)2851702-7 23788038 nnns volume:8 year:2023 number:6 pages:1602-1606 https://doi.org/10.1002/lio2.1181 kostenfrei https://doaj.org/article/bc838530c23a4d958e1ff7a104954691 kostenfrei https://doi.org/10.1002/lio2.1181 kostenfrei https://doaj.org/toc/2378-8038 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2023 6 1602-1606
allfields_unstemmed	10.1002/lio2.1181 doi (DE-627)DOAJ099019019 (DE-599)DOAJbc838530c23a4d958e1ff7a104954691 DE-627 ger DE-627 rakwb eng RF1-547 RD1-811 Frantzlee LaCrete verfasserin aut Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans. access to care ENT health disparities Nebraska OHNS oto Otorhinolaryngology Surgery Kendra L. Ratnapradipa verfasserin aut Kristy Carlson verfasserin aut Elizabeth Lyden verfasserin aut Jayme R. Dowdall verfasserin aut In Laryngoscope Investigative Otolaryngology Wiley, 2016 8(2023), 6, Seite 1602-1606 (DE-627)856388947 (DE-600)2851702-7 23788038 nnns volume:8 year:2023 number:6 pages:1602-1606 https://doi.org/10.1002/lio2.1181 kostenfrei https://doaj.org/article/bc838530c23a4d958e1ff7a104954691 kostenfrei https://doi.org/10.1002/lio2.1181 kostenfrei https://doaj.org/toc/2378-8038 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2023 6 1602-1606
allfieldsGer	10.1002/lio2.1181 doi (DE-627)DOAJ099019019 (DE-599)DOAJbc838530c23a4d958e1ff7a104954691 DE-627 ger DE-627 rakwb eng RF1-547 RD1-811 Frantzlee LaCrete verfasserin aut Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans. access to care ENT health disparities Nebraska OHNS oto Otorhinolaryngology Surgery Kendra L. Ratnapradipa verfasserin aut Kristy Carlson verfasserin aut Elizabeth Lyden verfasserin aut Jayme R. Dowdall verfasserin aut In Laryngoscope Investigative Otolaryngology Wiley, 2016 8(2023), 6, Seite 1602-1606 (DE-627)856388947 (DE-600)2851702-7 23788038 nnns volume:8 year:2023 number:6 pages:1602-1606 https://doi.org/10.1002/lio2.1181 kostenfrei https://doaj.org/article/bc838530c23a4d958e1ff7a104954691 kostenfrei https://doi.org/10.1002/lio2.1181 kostenfrei https://doaj.org/toc/2378-8038 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2023 6 1602-1606
allfieldsSound	10.1002/lio2.1181 doi (DE-627)DOAJ099019019 (DE-599)DOAJbc838530c23a4d958e1ff7a104954691 DE-627 ger DE-627 rakwb eng RF1-547 RD1-811 Frantzlee LaCrete verfasserin aut Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans. access to care ENT health disparities Nebraska OHNS oto Otorhinolaryngology Surgery Kendra L. Ratnapradipa verfasserin aut Kristy Carlson verfasserin aut Elizabeth Lyden verfasserin aut Jayme R. Dowdall verfasserin aut In Laryngoscope Investigative Otolaryngology Wiley, 2016 8(2023), 6, Seite 1602-1606 (DE-627)856388947 (DE-600)2851702-7 23788038 nnns volume:8 year:2023 number:6 pages:1602-1606 https://doi.org/10.1002/lio2.1181 kostenfrei https://doaj.org/article/bc838530c23a4d958e1ff7a104954691 kostenfrei https://doi.org/10.1002/lio2.1181 kostenfrei https://doaj.org/toc/2378-8038 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_636 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2023 6 1602-1606
language	English
source	In Laryngoscope Investigative Otolaryngology 8(2023), 6, Seite 1602-1606 volume:8 year:2023 number:6 pages:1602-1606
sourceStr	In Laryngoscope Investigative Otolaryngology 8(2023), 6, Seite 1602-1606 volume:8 year:2023 number:6 pages:1602-1606
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	access to care ENT health disparities Nebraska OHNS oto Otorhinolaryngology Surgery
isfreeaccess_bool	true
container_title	Laryngoscope Investigative Otolaryngology
authorswithroles_txt_mv	Frantzlee LaCrete @@aut@@ Kendra L. Ratnapradipa @@aut@@ Kristy Carlson @@aut@@ Elizabeth Lyden @@aut@@ Jayme R. Dowdall @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
hierarchy_top_id	856388947
id	DOAJ099019019
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ099019019</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20240414010926.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">240414s2023 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1002/lio2.1181</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ099019019</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJbc838530c23a4d958e1ff7a104954691</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RF1-547</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RD1-811</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Frantzlee LaCrete</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">access to care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">ENT</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">health disparities</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nebraska</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">OHNS</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">oto</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Otorhinolaryngology</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Surgery</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Kendra L. 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callnumber-first	R - Medicine
author	Frantzlee LaCrete
spellingShingle	Frantzlee LaCrete misc RF1-547 misc RD1-811 misc access to care misc ENT misc health disparities misc Nebraska misc OHNS misc oto misc Otorhinolaryngology misc Surgery Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska
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topic_title	RF1-547 RD1-811 Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska access to care ENT health disparities Nebraska OHNS oto
topic	misc RF1-547 misc RD1-811 misc access to care misc ENT misc health disparities misc Nebraska misc OHNS misc oto misc Otorhinolaryngology misc Surgery
topic_unstemmed	misc RF1-547 misc RD1-811 misc access to care misc ENT misc health disparities misc Nebraska misc OHNS misc oto misc Otorhinolaryngology misc Surgery
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title	Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska
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title_full	Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska
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author_browse	Frantzlee LaCrete Kendra L. Ratnapradipa Kristy Carlson Elizabeth Lyden Jayme R. Dowdall
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title_sort	rural–urban otolaryngologic observational workforce analysis: the state of nebraska
callnumber	RF1-547
title_auth	Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska
abstract	Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans.
abstractGer	Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans.
abstract_unstemmed	Abstract Objective To analyze the rural–urban access to otolaryngology (OHNS) care within the state of Nebraska. Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans.
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title_short	Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska
url	https://doi.org/10.1002/lio2.1181 https://doaj.org/article/bc838530c23a4d958e1ff7a104954691 https://doaj.org/toc/2378-8038
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author2	Kendra L. Ratnapradipa Kristy Carlson Elizabeth Lyden Jayme R. Dowdall
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doi_str	10.1002/lio2.1181
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up_date	2024-07-03T20:33:05.503Z
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Design Cross‐sectional study. Methods Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban–rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">access to care</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">ENT</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">health disparities</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Nebraska</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">OHNS</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">oto</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Otorhinolaryngology</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Surgery</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Kendra L. Ratnapradipa</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Kristy Carlson</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Elizabeth Lyden</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jayme R. 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Rural–urban otolaryngologic observational workforce analysis: The state of Nebraska

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