Association Between Neighborhood Deprivation and Number of Rheumatology Providers

Objective Geographic disparities in the distribution and practice patterns of rheumatology providers may negatively impact patients with rheumatic diseases. The objective of this study was to describe the distribution of rheumatologists with respect to the Area Deprivation Index (ADI) and to identif...

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Bibliographic Details
Published in:Arthritis care & research (2010) 2023-01, Vol.75 (1), p.9-13
Main Authors: Mbonu, Ikechukwu, Tai, Shannon, Bartels, Christie M., Putman, Michael
Format: Article
Language:English
Subjects:
Aged
Geographical distribution
Humans
Medicare
Public policy
Rheumatic Diseases
Rheumatologists
Rheumatology
United States - epidemiology
Workforce
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Summary:Objective Geographic disparities in the distribution and practice patterns of rheumatology providers may negatively impact patients with rheumatic diseases. The objective of this study was to describe the distribution of rheumatologists with respect to the Area Deprivation Index (ADI) and to identify differences in practice patterns among Medicare Part D rheumatologist prescribers. Methods We identified 5,882 rheumatologists who served a mean ± SD of 280 ± 208 Medicare Part D beneficiaries per year. In a Poisson regression model of the number of rheumatologists and the ADI of their practice location, for every increase of 10 on the ADI scale (range 0–100; higher = higher deprivation), there were 20.3% fewer rheumatologists (P 
ISSN:2151-464X
2151-4658
DOI:10.1002/acr.25036