Otolaryngology-Related Disorders in Underserved Populations, Otolaryngology Training and Workforce Considerations in North America

Otolaryngol Clin North Am. 2018 Jun;51(3):685-695. doi: 10.1016/j.otc.2018.01.013. Epub 2018 Feb 23.

Abstract

In North America, underserved and vulnerable populations experience poorer health outcomes despite greater per capita health care expenditures. Biologic, behavioral, and socioeconomic factors lead to more advanced disease presentation that may necessitate disparate treatment. Additionally, vulnerable populations are more likely to obtain care from low-volume providers, and are more likely to receive inappropriate care. Disparities in care are exacerbated by the distribution of the physician workforce and limited participation by physicians in the care of vulnerable populations. Multipronged strategies are needed to ameliorate observed disparities in care.

Keywords: Disparities; North America; Otolaryngology workforce; Underserved populations.

Publication types

  • Review

MeSH terms

  • Health Services Accessibility
  • Health Status Disparities
  • Humans
  • North America / epidemiology
  • Otolaryngology / education*
  • Otorhinolaryngologic Diseases / epidemiology*
  • Socioeconomic Factors
  • Vulnerable Populations / statistics & numerical data*
  • Workforce