获得大量外科医生和专业护理的差异
Terry P Gao1, Rebecca L Green1, Lindsay E Kuo1
1Department of General Surgery, Temple University Hospital, 3401 North Broad Street, Zone C, 4th Floor, Philadelphia, PA 19140, USA.
Endocrinology and metabolism clinics of North America
|October 21, 2023
概括
将患者转移到大量的中心可以提高内分泌疾病的外科手术质量. 然而,这些中心的访问在种族/种族,地理和社会经济群体之间是不平等的.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在复杂的内分泌手术中存在着强烈的体积-结果关系.
- 高体积的中心与改善的患者结果有关.
- 现有的医疗保健差异可能会限制公平获得专门的外科护理.
研究的目的:
- 为了检查内分泌外科手术中的体积-结果关系.
- 为了识别进入内分泌疾病大批量手术中心的差异.
- 为公平分配专门手术护理的战略提供信息.
主要方法:
- 对大型医疗保健数据库的分析.
- 统计建模用于评估体积与结果关系.
- 跨人口和社会经济层面的差异分析.
主要成果:
- 证实了甲状腺,副甲状腺,上腺和胰腺神经内分泌手术的显著体积-结果关系.
- 基于种族/族裔,地理和社会经济地位,识别进入大量中心的显著差异.
- 对获得专门内分泌外科护理的不平等准入程度的量化.
结论:
- 虽然大量的中心改善了内分泌外科疾病的结果,但仍然存在显著的获取差异.
- 解决这些差异对于在内分泌外科手术中实现公平的护理质量至关重要.
- 可能需要政策干预,以确保公平获得大量的外科专业知识.
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