在全喉切除术后对言语康复的社会经济影响
Luke Stanisce1, Mick McGlone2, Yekaterina Koshkareva1,2,3
1Division of Otolaryngology-Head and Neck Surgery, Cooper University Health Care, Camden, New Jersey, USA.
概括
社会经济地位对全喉切除术后获得语音恢复器件的影响很大. 更高的收入和保险覆盖率增加了获得TEP-VP的可能性,突出了语音康复方面的差异.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在全喉切除术后,语音康复至关重要,内置假体语音恢复 (TEP-VP) 提供最佳结果.
- 维护TEP-VP的长期成本很大,并且经常没有保险完全覆盖,这构成了访问障碍.
研究的目的:
- 研究社会经济因素与TEP-VP在喉切除术后患者的使用之间的关联.
- 分析收入和保险状况对TEP-VP的功能和维护结果的影响.
主要方法:
- 从2014年5月到2021年9月,对77名从2014年5月到2021年9月接受全喉切除术的患者进行了回顾性队列分析.
- 基于家庭收入,保险状况和第一年术后人口因素的TEP-VP安置率的比较.
- 功能通信和设备维护结果的二次分析.
主要成果:
- 年收入>5万美元的患者比年收入<5万美元 (35%) 的患者更容易接受TEP-VP (89%).
- 根据保险,TEP-VP的使用率有所不同:商业保险占85%,医疗保险占70%,医疗补助占42%,无保险占0%.
- 十二名患者在供应成本方面遇到了困难,在收入和保险群体中发现了显著的差异.
结论:
- 社会经济地位,特别是收入和保险覆盖,是喉切除术后TEP-VP获得的重要预测因素.
- 声乐和语音康复方面的差异不成比例地影响着服务不足的患者群体.
- 财务障碍影响了负担必要的TEP-VP供应的能力,影响了长期的结果.
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