佛罗里达州的初级保健医生供应和人口健康结果,2010-2019年
Maxwell E Droznin1, Julia Fashner2
1Johns Hopkins Bayview Medical Center, Baltimore, MD.
HCA healthcare journal of medicine
|November 16, 2023
概括
佛罗里达州增加初级保健医生供应与更好的健康结果有关,包括更低的肥胖和死亡率和更长的预期寿命. 这凸显了解决医生短缺的必要性,特别是在脆弱地区.
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
- 流行病学 流行病学
背景情况:
- 慢性疾病是一个越来越大的挑战,由初级保健医生 (PCP) 短缺加剧.
- 佛罗里达州PCP供应对人口健康结果的影响尚不清楚.
- 了解这种关系对于解决健康差异和改善公共卫生战略至关重要.
研究的目的:
- 调查佛罗里达州初级保健医生供应 (PCPS) 和主要人口健康指标之间的关联.
- 分析PCPS与肥胖率,预期寿命,冠状动脉疾病住院病例和佛罗里达州各县死亡率之间的关系.
- 在多年的时间里 (2010,2013,2016,2019年) 检查这些协会.
主要方法:
- 这是一项回顾性,横截面研究,利用佛罗里达州卫生部的二次数据.
- 分析包括了与PCPS相关的人口健康变量和健康的社会决定因素.
- 使用STATA 14进行了相关性和线性回归分析.
主要成果:
- 在PCPS和肥胖率之间发现了显著的反向关系,估计每10万人需要9.25个PCP来减少1%的肥胖.
- 2013年,2016年和2019年的PCPS与预期寿命有正相关性,2010年和2019年的死亡率有负相关性.
- 较高的PCPS与较低的无保险人数,失业率,较低的教育水平和较年轻的人口 (65岁以下) 相关.
结论:
- 佛罗里达州增加的PCPS显著与改善人口健康结果有关,包括减少肥胖和死亡率,以及增加预期寿命.
- 较为社会脆弱的地区表现出不公平的PCP分配,表明需要有针对性的干预措施.
- 扩大PCP工作人员,特别是在服务不足的地区,对于改善佛罗里达州的整体公共卫生至关重要.
关键词:
佛罗里达州 佛罗里达州 佛罗里达州 佛罗里达州获得初级保健的机会.住院治疗 住院治疗预期寿命 预期寿命肥胖 肥胖 肥胖 肥胖 肥胖 肥胖 肥胖 肥胖人口健康 人口健康人口健康管理 人口健康管理主要护理医生,初级保健医生初级医疗保健是一项主要的医疗保健服务.更多相关视频
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