旋转带撕裂的操作管理:在国家一级确定获取差异
Zachary L LaPorte1, Nathan J Cherian1, Christopher T Eberlin1
1Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General Hospital, Mass General Brigham, Boston, MA, USA.
Journal of shoulder and elbow surgery
|May 28, 2023
概括
少数民族的种族/族裔,保险类型和社会经济地位显著影响旋转手腕撕裂手术的发生率. 这些差异凸显了运营管理中的不平等,需要进一步调查以确保公平的患者护理.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 旋转手套撕裂是常见的肌肉骨损伤.
- 操作管理是旋转手套撕裂的关键治疗选择.
- 了解手术护理中的差异对于公平的医疗保健至关重要.
研究的目的:
- 为了确定旋转部撕裂的操作管理率的全国差异.
- 检查种族,种族,保险类型和社会经济地位如何影响手术治疗决策.
- 突出骨科护理途径中的潜在不平等现象.
主要方法:
- 利用了医疗保健成本和利用项目的国家住院患者样本数据库 (2006-2014).
- 使用ICD-9代码识别了完全或部分旋转部撕裂的患者.
- 采用了千平方测试和多变量逻辑回归来进行比较分析.
主要成果:
- 与白人患者相比,少数民族的种族和种族与手术管理率明显较低有关.
- 保险类型表现出差异,自付者,医疗保险和医疗补助受益者显示手术的几率降低.
- 社会经济地位也起到了作用,高收入四分位数通常具有更高的操作维修率.
结论:
- 在基于种族/种族,保险和社会经济地位的旋转手套撕裂的操作管理方面,全国存在显著的差异.
- 这些发现强调了骨科护理获取和提供方面的严重不平等.
- 进一步的研究对于解决这些差异的根本原因和优化患者护理途径至关重要.
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