People are more likely to die of ALD when there are fewer gastroenterologists in their state, researchers say. LiverTwitter GastroTwitter
ALD is becoming more common, and it is killing more people. Research among veterans has linked visits to gastroenterologists to a lower risk for death from liver disease.
The strength of the association appeared to plateau when there were at least 7.5 gastroenterologists per 100,000 people. The Atlantic states had the greatest concentration of gastroenterologists and the lowest ALD-related mortality, whereas the Mountain states had the lowest concentration of gastroenterologists and the highest ALD-related mortality.
The concentration of primary care physicians did not reduce mortality from ALD, and neither did the concentration of substance use, behavioral disorder, and mental health counselors.therapy is effective. But many people do not want to undertake it, or they face barriers of transportation, language, or insurance, said Lee.
The finding builds on reports by the American Gastroenterological Association and the American Association for the Study of Liver Diseases that the number of gastroenterologists has not kept up with the US population nor the burden of digestive diseases, and that predict a critical shortage in the future.The overall supply of gastroenterologists could be increased by reducing the educational requirements and increasing the funding for fellowships, said Lee.
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