ArticleLaryngoscope investigative otolaryngology2023
Rural-urban otolaryngologic observational workforce analysis: The state of Nebraska.
Article in Laryngoscope investigative otolaryngology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Digital Referral Patterns for Otolaryngology Subspecialties: A Two-Year Nationwide Analysis in Saudi Arabia.Healthcare (Basel, Switzerland) · 2026Article
- Importance of Global Health Opportunities in Residency Selection Among Otolaryngology Applicants.World journal of otorhinolaryngology - head and neck surgery · 2026Article
- Accessibility of Otolaryngology Care in Virginia: A Geospatial Workforce Analysis.Laryngoscope investigative otolaryngology · 2026Article
- Geospatial Analysis of Rural-Urban Access of Otolaryngology-Head and Neck Surgeons and Clinics in Vermont.Laryngoscope investigative otolaryngology · 2026Article
- Understanding the Composition of a Comprehensive Otolaryngologist's Practice Through Medicare Reimbursements.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Article
- Rural-urban otolaryngologic observational workforce analysis: The state of Nebraska.Laryngoscope investigative otolaryngology · 2023Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To analyze the rural-urban access to otolaryngology (OHNS) care within the state of Nebraska. Design: Cross-sectional study. Methods: Counties in Nebraska were categorized into rural versus urban status based upon the 2013 National Center for Health Statistics urban-rural classification scheme with I indicating most urban and VI indicating most rural. The information on otolaryngologists was gathered utilizing the Health Professions Tracking System. Otolaryngologists were categorized based on the county of their primary and outreach clinic location(s). Travel burden was estimated using census tract centroid distance to the nearest clinic location, aggregated to county using weighted population means to determine the average county distance to the nearest otolaryngologist. Results: Nebraska is a state with a population of 1.8 million people unequally distributed across 76,824 square miles, with rural counties covering 2/3 of the land area. Nebraska has 78 primary OHNS clinics and 70 outreach OHNS clinics distributed across 93 counties. More than half (54.8%) of the counties in Nebraska lacked any OHNS clinic. Overall, a statistically significant difference was found when comparing mean primary OHNS per 100,000 population and mean miles to a primary OHNS clinic with Level III counties being 5.17 linear miles from primary OHNS compared to Level V counties being 29.94 linear miles. Conclusion: Overall, a clear discrepancy between rural and urban primary OHNS clinics in Nebraska can be seen visually and statistically with rural Nebraskans having to travel at least 5.5 times farther to primary OHNS clinics when compared to urban Nebraskans.
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