在公共资助的医疗保健系统中,肢体截肢后的出院处置
Samuel Kwaku Essien1, Audrey Zucker-Levin1
1University of Saskatchewan, Saskatoon, SK, Canada.
概括
肢体截肢 (LA) 后的出院倾向因患者的年龄,截肢程度和倾向因素等因素而异,甚至在加拿大公共卫生保健系统中也存在显著差异. 这些发现突出了需要医疗保健提供者和政策制定者关注的差异.
科学领域:
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 了解肢体截肢 (LA) 后的排放处置 (DD) 对于资源分配至关重要.
- 美国先前的研究强调了支付者来源的影响;加拿大研究旨在确定公共资助系统中的独立因素.
研究的目的:
- 调查影响加拿大肢体截肢后排放处置的独立社会人口统计学,临床和外科因素.
- 识别在普遍医疗保健环境中,免费治疗结果的潜在差异.
主要方法:
- 2006年至2019年萨斯喀彻温省链接的行政健康数据的回顾性审查.
- 分析了5个出院情况:住院,持续护理,有支持的家庭 (H/W),没有支持的家庭 (H/WO) 和死亡.
- 包括社会人口因素,截肢水平,截肢倾向因素 (APF) 和外科专业.
主要成果:
- 年龄,截肢程度和APF显著影响了所有出院安排.
- 性别,居住地和外科专业与特定的出院安排有关.
- 收入显示有限的关联,主要与家有支持服务.
结论:
- 肢体截肢后排放处置的差异仍然存在,即使支付来源不是一个因素.
- 医疗保健提供者和政策制定者必须考虑确定的预后因素,以解决这些差异,并有效地规划资源.
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