影响骨科外科后续检查遵守标准的因素
Matthew Bender1, Neil Jain, Alec Giron
1From the Department of Orthopedic Surgery, Texas Tech University Health Sciences Center, Lubbock, TX.
概括
患者不遵守骨科术后访问与男性性别,少数民族种族和长途旅行等因素有关. 干预措施可以提高随访率和患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 手术后的随访对于骨科康复至关重要.
- 错过预约会导致并发症和增加医疗保健费用.
- 患者遵守后续时间表会影响康复和医疗保健资源的利用.
研究的目的:
- 调查患者在术后诊所的出席率与医疗护理所需的距离之间的关系.
- 为了确定错过骨科后续预约的预测因素.
主要方法:
- 在2019年接受骨科手术的518名患者的回顾性评估.
- 分析患者人口统计,保险和旅行距离 (使用谷歌地图API).
- 单变量和多变量后勤回归用于识别错过约会的预测因素.
主要成果:
- 15%的患者错过了至少一个随访预约.
- 错过预约的预测因素包括男性性别,黑人或非裔美国人种族,自付,医疗补助保险和旅行>70英里.
- 工人赔偿保险与更好的出席率有关.
结论:
- 非可修改的患者因素显著预测了对整形外科术后访问的不遵守.
- 识别高风险患者可以进行有针对性的干预,以提高随访率.
- 改善随访遵守可以提高患者的治疗结果和医院的利能力.
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