在线患者门户网站的作用:自我调度和自我推途径,以减少对查乳房镜检查的健康差异
Ben Sadeghi1, Julia Tran1, Irene S Tsai2
1Department of Radiological Sciences, University of California, Irvine, Orange, California.
Journal of the American College of Radiology : JACR
|July 29, 2023
概括
自我安排和自我转诊进行查性乳房扫描显示了社会人口学差异. 这些在线途径有助于降低安排障碍,朝着缩小医疗保健差异差距的方向前进.
科学领域:
- 放射学和成像学 放射学和成像学
- 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:
- 查性乳房造影对于早期发现乳腺癌至关重要.
- 通过安排和转诊障碍,对查性乳房扫描的准入可能受到限制.
- 了解影响患者途径的社会人口学因素对于改善医疗接入至关重要.
研究的目的:
- 评估用于查乳房镜检查的自我调度和自我转诊的利用率.
- 确定与使用在线自我安排和自我推途径相关的社会人口统计因素.
- 评估这些途径在解决南加州医疗保健差异方面的作用.
主要方法:
- 在2021年2月至2022年9月期间,对22306名接受查性乳房镜检查的患者进行了回顾性研究.
- 分析社会人口统计数据,包括年龄,种族/族裔,语言,保险和邻里处于不利地位.
- 多变量后勤回归模型,以确定与在线自我调度和自我推的关联.
主要成果:
- 16.0%的患者使用在线自我安排,5.5%的患者自我转介.
- 老年,西班牙语和医疗补助保险患者不太可能自行安排.
- 西班牙裔和亚洲裔患者,以及那些生活在弱势社区的患者更有可能自行安排.
- 老年人和说西班牙语的患者不太可能自我推.
- 黑人患者,医疗补助保险患者和处于弱势地区的患者更有可能自我推.
结论:
- 在线自我安排和自我推途径显示了使用的社会人口统计学差异.
- 这些数字工具似乎可以缓解一些对查乳房扫描访问的现有障碍.
- 这些发现表明,这些途径是减少乳腺癌查差异的积极一步.
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