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从2016年到2019年,患者人口统计和性别确认手术的表现的地理差异

Rishub K Das, Izabela Galdyn, Rachel L McCaffrey

Aesthetic surgery journal

|November 23, 2023

概括

性别确认手术 (GAS) 在全国范围内出现了显著增长,中西部和南部经历了最高的增长. 还注意到患者人口统计和并发性疾病的区域差异.

科学领域:

医疗保健服务研究医疗服务研究
健康的社会经济决定因素
外科手术的结果

背景情况:

立法改善了对性别确认手术 (GAS) 的保险覆盖.
然而,最近的法案将GAS提供者定为犯罪行为,威胁到患者的护理,特别是在南方和中西部.
了解GAS的区域差异对于公平获得医疗保健至关重要.

研究的目的:

检查美国人口普查地区如何影响GAS患者人口统计.
分析门诊外科手术环境中GAS率的区域差异.
根据地理位置确定基于护理的潜在差异.

主要方法:

分析2016-2019年全国通行外科手术样本 (NASS) 的分析.
使用计费代码识别经过GAS的性别障碍症个人的身份.
人口和临床特征的分层根据美国人口普查地区.

主要成果:

在2016年至2019年期间,总体GAS费率增加了187%.
中西部地区的GAS增幅最高 (257%),其次是东北部 (203%) 和南部 (218%).
西部地区以外的患者患焦虑/抑郁症的几率更高,收入更低.

结论:

从2016年到2019年,中西部,南部和东北部发生了大量的GAS增长.
观察到保险覆盖,社会经济地位和并发症的区域差异.
这些发现凸显了解决天然气供应和产生的区域差异的必要性.

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