对于农村和社会弱势地区中风幸存者来说,康复评估访问的差异
Corey Morrow1, Michelle Woodbury1, Annie N Simpson1
1College of Health Professions, Medical University of South Carolina, Charleston, SC, USA.
Topics in stroke rehabilitation
|February 19, 2024
概括
卒中幸存者,特别是农村和弱势地区的幸存者,面临着对关键职业和物理治疗的限制. 相当一部分中度至重度中风患者没有获得必要的康复服务.
科学领域:
- 脑卒中康复研究研究
- 医疗服务研究 医疗服务研究
- 卫生公平性健康公平性
背景情况:
- 大多数中风幸存者经历了持久的赤字和未满足的需求.
- 获得基本的职业和物理治疗往往受到限制.
- 了解弱势群体获得护理的机会,对于经济模式的康复至关重要.
研究的目的:
- 调查康复评估频率的差异.
- 专注于门诊治疗和家庭医疗服务.
- 检查农村和社会弱势地区的医疗保险B部分缺血性中风幸存者.
主要方法:
- 追溯性,描述性的队列分析.
- 使用的2018-2019年医疗保险有限数据集 (LDS).
- 提取康复 职业和物理治疗的当前程序术语 (CPT) 代码.
主要成果:
- 在9076名中风幸存者中,有44.2%没有接受治疗.
- 在没有治疗的患者中,有64.7%患有中度/重度中风.
- 农村和社会弱势社区的康复评估率较低.
结论:
- 卒中幸存者面临不充分的家庭医疗和门诊康复的机会.
- 欠缺服务的人群特别难以获得服务.
- 调查结果将为改善护理准入的经济评估提供信息.
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