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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Who Performs Colonoscopy? Workforce Trends Over Space and Time
The Journal of rural health, v 34(2), pp 138-147
01 Mar 2018
PMID: 29143383
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
PurposeWith the increased availability of colonoscopy to average risk persons due to insurance coverage benefit changes, we sought to identify changes in the colonoscopy workforce. We used outpatient discharge records from South Carolina between 2001 and 2010 to examine shifts over time and in urban versus rural areas in the types of medical providers who perform colonoscopy, and the practice settings in which they occur, and to explore variation in colonoscopy volume across facility and provider types.
MethodsUsing an all-payer outpatient discharge records database from South Carolina, we conducted a retrospective analysis of all colonoscopy procedures performed between 2001 and 2010.
FindingsWe identified a major shift in the type of facilities performing colonoscopy in South Carolina since 2001, with substantial gains in ambulatory surgery settings (2001: 15, 2010: 34, +127%) versus hospitals (2001: 58, 2010: 59, +2%), particularly in urban areas (2001: 12, 2010: 27, +125%). The number of internists (2001: 46, 2010: 76) and family physicians (2001: 34, 2010: 106) performing colonoscopies also increased (+65% and +212%, respectively), while their annual procedures volumes stayed fairly constant. Significant variation in annual colonoscopy volume was observed across medical specialties (P < .001), with nongastroenterologists having lower volumes versus gastroenterologists and colon and rectal surgeons.
ConclusionsThere have been substantial changes over time in the number of facilities and physicians performing colonoscopy in South Carolina since 2001, particularly in urban counties. Findings suggest nongastroenterologists are meeting a need for colonoscopies in rural areas.
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Details
- Title
- Who Performs Colonoscopy? Workforce Trends Over Space and Time
- Creators
- Jan M. Eberth - University of South CarolinaMichele J. Josey - University of South CarolinaLee R. Mobley - Georgia State UniversityDavidson O. Nicholas - Jewish HospitalDonna B. Jeffe - College Station Medical CenterCassie Odahowski - University of South CarolinaJanice C. Probst - University of South CarolinaMario Schootman - Saint Louis University
- Publication Details
- The Journal of rural health, v 34(2), pp 138-147
- Publisher
- Wiley
- Number of pages
- 10
- Grant note
- T32-GM081740 / NIH-National Institute of General Medical Sciences; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS) MRSG-15-148-01-CPHPS / American Cancer Society DK-52574 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA P30CA091842 / NIH-National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) HL-38180; DK-56260 / Digestive Disease Research Core Center 5U1CRH0311-12-00 / Federal Office of Rural Health Policy R56AG049503 / NIH-National Institute on Aging; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000429325800004
- Scopus ID
- 2-s2.0-85034213905
- Other Identifier
- 991021855180204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services
- Public, Environmental & Occupational Health