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与收入相关的不平等骨关节炎的变化第一线干预:一个队列研究

Simone Battista¹, Ali Kiadaliri², Thérése Jönsson³

¹Clinical Epidemiology Unit, Orthopaedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden; Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Campus of Savona, Italy.

Archives of physical medicine and rehabilitation

|November 7, 2023

概括

随着时间的推移,骨关节炎的结果与收入相关的不平等状况恶化. 疼痛和对手术的渴望集中在收入较低的人群中,而自我效能在治疗后有利于收入较高的群体.

科学领域:

类风湿病学类风湿病学
卫生经济学卫生经济学
公共卫生公共卫生

背景情况:

骨关节炎 (OA) 是一种普遍影响生活质量的疾病.
第一线干预的目的是管理OA症状并改善功能.
了解治疗结果的社会经济差异对于公平的医疗保健至关重要.

研究的目的:

调查一线干预后在OA结果中与收入相关的不平等的变化.
分析如何疼痛,自我效能,NSAID使用和对手术的愿望随着时间的推移受收入的影响.

主要方法:

使用瑞典骨关节炎登记处 (SOAR) 的数据进行了回顾性队列研究.
包括115403名患有膝盖或部骨关节炎的患者.
Erreygers的度指数 (E) 衡量了基线,3个月和12个月的与收入相关的不平等. 平衡和启动链复制被用于分析.

主要成果:

随着时间的推移,与收入相关的疼痛强度和对手术的渴望不平等性增加,更多地集中在收入较低的个人中.
自我有效性在高收入人群中越来越集中.
最初,NSAID的使用集中在收入较高的人群中,但缩小了3个月.

结论:

该研究强调了瑞典医疗保健系统内的OA结果中与收入相关的不平等增加的令人担忧的趋势.
干预措施可能会加剧现有的社会经济差异,如果不定制以解决这些问题.
需要进一步的研究来制定减轻这些不平等现象的策略.

关键词:

流行病学流行病学卫生政策卫生政策国家卫生计划国家卫生计划个人健康服务个人健康服务物理治疗专业物理治疗专业康复康复康复康复

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