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Geographic availability of orthopaedic surgeons.
Of these, ten were excluded from this study: nine were duplicates and one concerned the general availability of orthopaedic services.
Access to PCPs and the index of geographic availability of orthopaedic surgeons, but not SES, were significantly associated with orthopaedic surgeon office visits.
This result suggested a linear trend of increased utilisation of orthopaedic surgeon office services with increasing access to PCPs for a given level of availability of orthopaedic surgeons.
Finally, we anticipate that access to PCPs, the geographic availability of orthopaedic surgeons, and office visits to orthopaedic surgeons will be positively associated with orthopaedic surgery rates.
A strategy for increasing availability of orthopaedic surgeons for surgery would be to ensure that patients who are referred are those who are most likely to need surgery.
Similar(31)
In view of concern about future availability of the orthopaedic surgical workforce [ 9, 15, 33, 34] several strategies could be implemented to increase capacity for orthopaedic surgery.
The results of the stratified analysis are presented in table 4. Access to PCPs was significantly and positively associated with office visits to orthopaedic surgeons in areas in the lowest and middle tertiles of orthopaedic surgeon availability.
The use of joint replacement as an outcome measure has a number of limitations including the effect of patient willingness, variation in orthopaedic opinion, availability of health services and health insurance, and therefore may be influenced depending upon the country and context in which the study is performed.
29 30 The lack of association between orthopaedic surgeon availability and surgical rates after accounting for the rate of orthopaedic office visits suggests that it is access to office-based services that is crucial for getting access to surgery.
Unfortunately we did not have data on the circumstances of orthopaedic practice such as surgeon preferences 13 22 45 or barriers to surgery (eg, availability of operating room resources).
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