Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

Health Services Research & Development

Go to the ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

An increase in multi-site practices: The shifting paradigm for gynecologic cancer care delivery.

Hicks-Courant K, Kanter GP, Giuntoli RL, Schapira MM, Bekelman JE, Latif NA, Haggerty AF, Morgan MA, Burger R, Ko EM. An increase in multi-site practices: The shifting paradigm for gynecologic cancer care delivery. Gynecologic oncology. 2021 Jan 1; 160(1):3-9.

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information vaww.hsrd.research.va.gov/dimensions/

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
   Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions



Abstract:

OBJECTIVE: To assess whether the number of practice sites per gynecologic oncologist (GO) and geographic access to GOs has changed over time. METHODS: This is a retrospective repeated cross-sectional study using the 2015-2019 Physician Compare National File. All GOs in the 50 United States and Washington, DC, who had completed at least one year of practice were included in the study. All practice sites with complete addresses were included. Linear regression analyses estimated trends in GOs'' number of practice sites and geographic dispersion of practice sites. Secondary analyses assessed temporal trends in the number of geographic areas served by at least one GO. RESULTS: Although there was no significant change in the number of GOs from 2015 to 2019 (n  =  1328), there was a significant increase in the number of practice sites (881 to 1416, p  =  0.03), zip codes (642 to 984, p  =  0.03), HSAs (404 to 536, p  =  0.04), and HRRs (218 to 230, p  =  0.03) containing a GO practice. The mean number of practice sites (1.64 versus 2.13, p  <  0.001) and dispersion of practice sites (0.03 versus 0.43 miles, p  =  0.049) per GO increased significantly. CONCLUSIONS: Between 2015 and 2019, an increasing number of GOs have multi-site practices, and more geographic regions contain a GO practice. Improvements in geographic access to GOs may represent improved access to care for many women in the US, but its effect on patients, physicians, and geographic disparities is unknown.





Questions about the HSR&D website? Email the Web Team.

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.