医疗保健差异:患者对关节置换障碍的看法
Susan M Goodman1,2, Insa Mannstadt3, J Alex B Gibbons4
1Department of Medicine, Weill Cornell Medicine, New York, NY, 10021, USA. goodmans@hss.edu.
BMC musculoskeletal disorders
|December 19, 2023
概括
在关节置换手术中存在种族和民族差异. 与白人患者相比,黑人和西班牙裔患者对外科医生信任和康复的担忧更大,突出了潜在的护理障碍.
科学领域:
- 整形外科手术 整形外科手术
- 健康差距 研究 研究 研究 研究
- 患者为中心的结果.
背景情况:
- 种族和族裔少数群体在关节整形 (关节置换) 使用方面存在显著差异.
- 这些差异的根本原因在很大程度上是未知的,特别是从患者的角度来看.
研究的目的:
- 识别和优先考虑可能成为关节塑性手术障碍的患者问题.
- 在这些问题上探索种族和种族差异.
主要方法:
- 一项混合方法研究,涉及半结构面试和随后的问卷.
- 与患有部或膝关节关节炎的黑人和西班牙裔患者的采访为调查问卷的开发提供了信息.
- 回归分析检查了种族/种族之间的关联以及确定主题的重要性,并对共变量进行调整.
主要成果:
- 出现了五个主要主题:"对外科医生的信任"",恢复"",成本/保险"",手术结果"和"个人适合性/时机".
- 黑人和西班牙裔患者比白人患者更有可能将"对外科医生的信任"和"恢复"评价为非常/极其重要.
- 在种族/族群之间观察到主题重要性的显著差异 (p < 0.05).
结论:
- 患者对外科医生信任和康复的担忧在种族和种族群体之间存在显著差异.
- 这些已识别的因素代表了潜在的障碍,导致关节塑形术利用率的差异.
- 解决这些患者特定的担忧可能有助于减少关节置换手术中的医疗保健不平等.
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