在血管外科手术中探索静脉疾病的感知
Misaki M Kiguchi1, Laura M Drudi2, Omid Jazaeri3
1Department of Vascular Surgery, MedStar Washington Hospital Center, Washington, DC.
概括
血管外科医生认为静脉疾病的治疗价值低于动脉疾病,特别是女性和受过奖学金培训的外科医生. 这凸显了需要在血管外科手术中提高静脉疾病护理的重要性.
科学领域:
- 血管外科 血管外科
- 医学经济学 医学经济学
- 健康差异 在健康上的差异
背景情况:
- 性别差异和偏见影响医学职业发展,包括血管外科手术.
- 静脉疾病占医疗保健支出的很大一部分,但其在血管外科医生的感知价值尚不清楚.
- 了解影响静脉疾病治疗观念的因素对于公平实践至关重要.
研究的目的:
- 调查影响血管外科医生对表面和深静脉疾病治疗的看法的因素.
- 在血管外科手术中探索静脉与动脉工作的感知价值.
- 确定与静脉疾病相关的感知和职业道路的潜在基于性别的差异.
主要方法:
- 在2021年12月,向执业的血管外科医生分发了一份匿名电子调查.
- 受访者按性别,实践类型 (静脉重型与静脉轻型) 和实践年龄分层.
- 进行了描述性,单变量和多变量分析,以评估感知和影响因素.
主要成果:
- 女性受访者比较年轻,实践经验较短,更有可能感知性别偏见.
- 拥有静脉重量实践的外科医生在实践中的年龄更长,寻求更多的静脉培训,并且更有可能在私人实践中.
- 74.3%的受访者认为静脉工作的价值低于动脉工作;女性性别和奖学金培训预测了这种看法.
结论:
- 血管外科医生通常认为静脉疾病管理的价值不如动脉疾病管理.
- 这种看法在女性和受过奖学金培训的外科医生中更为明显.
- 需要努力加强慢性静脉疾病在血管外科手术中的公认重要性,以确保最佳的患者护理.
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