脊柱二叉脊椎成年人获得和利用医疗保健
Lillian Y Lai1, Alejandro D Lopez2, Hillary L Copp3
1Department of Urology, University of Michigan, Ann Arbor, MI.
Urology
|September 10, 2023
概括
许多患有脊柱裂 (SB) 的成年人面临着获得泌尿外科护理的挑战,近四分之一的人没有去看专家. 这凸显了对患有先天性生殖尿路疾病 (CGC) 的人士改善医疗保健准入和服务的需求.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 遗传性尿路疾病 (CGC) 带来了终身的健康挑战.
- 患有脊柱裂 (SB) 的成年人,一种常见的CGC,需要持续的专门泌尿器科护理.
- 了解医疗保健的获取和利用对于这个复杂的人群来说至关重要.
研究的目的:
- 评估成年人脊柱裂纹 (SB) 的医疗保健准入,自我管理准备和医疗保健利用情况.
- 识别SB.的成年人经历的护理挑战和障碍.
- 为改善CGC患者医疗保健服务的策略提供信息.
主要方法:
- 社交媒体调查被用来收集SB的成年人的数据.
- 受访者报告了过去一年获得护理,障碍,自我管理准备和医疗保健利用情况 (访问,错过访问,急救,住院).
- 多变量模型分析了医疗保健利用的决定因素.
主要成果:
- 在SB的270名成年受访者中,有24.5%的人在过去一年内没有去看泌尿科医生.
- 错过医疗检查的可能性增加与更先前的泌尿外科手术和更先前的急诊室诊断有关.
- 诸如女性性别,之前的手术和泌尿科医生等因素增加了与泌尿病相关的住院几率.
结论:
- 很大一部分患有CGC的成年人,特别是SB,缺乏一致的泌尿器科护理.
- 对这群人来说,护理方面的障碍和缺陷是相当大的.
- 改善获得和优化医疗保健服务的利用对于患有CGC的成年人来说至关重要.
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