使用社会脆弱性指数分析全州胆囊切除术的健康差异
Habib Abla1, Reagan A Collins1, Chathurika S Dhanasekara1
1Department of Surgery, Texas Tech University Health Science Center, Lubbock, Texas.
The Journal of surgical research
|January 26, 2024
概括
更高的社会脆弱性与胆囊切除术率的降低有关. 社会脆弱性指数 (SVI) 有效地识别了胆囊炎患者在手术护理获取方面的差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 健康 公平 卫生 公平
背景情况:
- 健康的社会决定因素对手术护理的获得有重大影响.
- 社会脆弱性指数 (SVI) 是评估人口脆弱性的工具.
- 了解SVI在手术决策中的作用对于解决健康差异至关重要.
研究的目的:
- 评估社会脆弱性指数 (SVI) 在预测德克萨斯州胆囊炎患者胆囊切除术的有用性.
- 为了确定更高的社会脆弱性是否与接受这种常见的手术手术率较低有关.
主要方法:
- 在德克萨斯州 (2016-2019) 诊断出胆囊炎的成年患者的回顾性分析.
- 根据患者的社会脆弱性指数 (SVI) 成绩,患者被分为四分之一.
- 计算了接受胆囊切除术的相对风险 (RR),比较了不同的SVI脆弱性水平.
主要成果:
- 在67548名被评估的患者中,超过72%接受了胆囊切除术.
- 最低SVI四分位数 (低脆弱性) 的患者更有可能接受手术 (RR=1.21).
- 相反,处于最高SVI四分位数 (高脆弱性) 的患者接受手术的可能性较低 (RR=0.91).
- 在调整了人口统计和保险因素后,这些关联仍然存在,但在农村地区不那么明显.
结论:
- 较高的社会脆弱性指数得分与接受选择性胆囊切除术的可能性降低有关.
- 该SVI是一个有价值的工具,用于识别影响获得和接受外科护理的社会决定因素.
- 可能需要有针对性的干预措施来缓解与SVI相关的SVI相关的差异,例如胆囊炎等疾病的外科护理.
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