社区社会脆弱性与可预防的住院治疗之间的关联
Rachel Hogg-Graham1, Joseph A Benitez1, Mary E Lacy1
1University of Kentucky, Lexington, USA.
Medical care research and review : MCRR
|September 21, 2023
概括
社会脆弱性显著增加了可预防的住院治疗. 社会脆弱性较高的社区面临40%更多的住院住院,这些住院住院可能通过适当的医疗保健来避免.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 可预防的住院治疗对患者和医疗保健系统构成重大负担.
- 虽然门诊护理的准入是已知的因素,但社会,环境和经济条件正在成为关键影响因素.
研究的目的:
- 调查社会脆弱性与可预防的住院率之间的关联.
- 分析县级社会脆弱性如何影响可预防的住院病人的频率.
主要方法:
- 从33个州的县级可预防住院数据的横截面分析.
- 利用了2020年社会脆弱性指数 (SVI) 的数据来量化社会脆弱性.
主要成果:
- 社会脆弱性最高的县经历的可预防住院病例比最不脆弱的地区多40%.
- 调整后的回归分析证实了社会脆弱性和可预防的住院治疗之间的强烈,显著的关系.
结论:
- 社区层面的社会脆弱性是可预防住院率变化的关键驱动因素.
- 解决社会不平等问题是国家优先事项,以减轻可预防住院住院的人员损失和社会成本.
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