在美国获得性化学化专家的差异:回顾性跨部门研究
Rashid Kazerooni1, Sean Healy, Monica Verduzco-Gutierrez
1From the Merz Pharmaceuticals, LLC, Raleigh, North Carolina (RK); Department of Family and Community Medicine Residency Program, Mercy Health-Anderson Hospital, Cincinnati, Ohio (SH); and Department of Rehabilitation Medicine, Joe R. and Teresa Lozano Long School of Medicine, UT Health San Antonio, San Antonio, Texas (MV-G).
American journal of physical medicine & rehabilitation
|November 28, 2023
概括
非城市和西班牙裔社区的患者对性化疗治疗专家的接触较少. 这项研究突出了医疗保健供不应求的人群获得专业治疗的差异.
科学领域:
- 医学经济学 医学经济学
- 医疗保健服务研究 医疗服务研究
- 神经学 神经学
背景情况:
- 获得专门的医疗护理对于管理诸如性等疾病至关重要.
- 化疗是的关键治疗方法,需要专门的提供者.
- 地理,种族和种族因素可能会影响这些专家的获取.
研究的目的:
- 为了调查获得性化学消毒专家的差异.
- 分析基于地理位置,种族,种族和人口密度的访问差异.
- 识别服务不足的人群,他们对这种专业护理的获取有限.
主要方法:
- 使用医疗保险提供者利用和支付数据进行回顾性横截面研究.
- 包括具有相当大的成年人性化学消化实践的提供者.
- 多变量线性回归分析医院转诊区域,控制人口密度和人口统计因素.
主要成果:
- 与城市地区相比,在非城市地区观察到更低的性化疗专家的访问 (更高的患者:提供者比率).
- 在西班牙裔人口比例较高的地区,访问量明显减少.
- 多变量分析证实,城市和高西班牙裔地区的接入情况明显较差.
结论:
- 在非城市和西班牙裔社区的患者获得化疗消毒专家的机会方面存在重大不平等.
- 研究结果表明,需要制定战略,改善这些服务不足的人群获得医疗保健的机会.
- 建议进行进一步的研究,以确认这些接入差异是否与性化学化特异,或更广泛.
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