错过预约的风险因素 在多站点的学术城市泌尿 gyncology 实践
Jeannine M Miranne1, Alexa Courtepatte2, Stephanie Schatzman-Bone3
1From the Division of Urogynecology, Department of OB/GYN, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
有医疗补助保险的妇女更有可能错过泌尿后科的预约. 了解这些错过的预约对于改善患者护理和临床效率至关重要.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 错过的预约会对临床生产力和患者健康结果产生负面影响.
- 识别错过泌尿后科预约的特征和风险因素对于有针对性的干预措施至关重要.
研究的目的:
- 描述错过泌尿科医生预约的妇女的社会人口统计和临床特征.
- 为了识别与错过泌尿后科预约相关的风险因素.
主要方法:
- 进行了一项病例对照研究,涉及426名18岁以上的女性,她们预定要参加泌尿外科医生预约.
- 错过预约的患者 (同日取消或不出现) 与对照组进行了比较.
- 使用后勤回归分析来确定错过预约的风险因素.
主要成果:
- 错过预约的女性更年轻,更有可能是西班牙裔或非西班牙裔黑人,并且有医疗补助.
- 错过的预约与错过预约的历史,更长的等待时间和安排尿失禁有关.
- 获得医疗补助的女性缺席预约的几率明显更高 (调整后OR,2.11).
结论:
- 拥有医疗补助保险的女性代表了错过泌尿后科预约的高风险群体.
- 需要进一步的研究来探索和解决这一群体在获得医疗保健方面面临的具体障碍.
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