在患有甲病的患者中,获得护理和利用医疗保健
Kevin M Wymer1, Sayi P Boddu2, Mouneeb Choudry3
1Department of Urology, Mayo Clinic, Rochester, MN.
Urology
|March 3, 2024
概括
诊断和治疗结石 (结石) 并没有增加患者报告的医疗保健障碍. 然而,较年轻,女性和较低社会经济地位的患有石头的患者面临着重大访问挑战.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 结石 (结石) 影响着人口的很大一部分,需要了解其对医疗保健准入的影响.
- 以前的研究还没有完全阐明结石诊断/治疗和患者报告的护理障碍之间的关系,特别是在多样化的群体中.
研究的目的:
- 评估结石病诊断和治疗对医疗保健利用的影响.
- 确定结石患者护理障碍的预测因素.
主要方法:
- 使用我们所有人的数据库进行回顾性队列研究.
- 包括9173名结石病患者与9173名对照人群相匹配.
- 使用回归模型分析自我报告的医疗保健获取和利用情况.
主要成果:
- 患有结石的患者不太可能从他们最后一次医疗服务供应商访问以来的时间延长.
- 在结石患者中,没有发现自我报告的治疗延迟增加,无法负担治疗费用,或跳过药物治疗.
- 年龄较小,女性性别,收入较低,教育程度较低,缺乏保险和健康状况较差预测结石患者的医疗保健准入障碍增加.
结论:
- 结石病的诊断和手术治疗与患者报告的护理障碍增加无关.
- 特定的人口和社会经济因素确定患有结石的患者面临更高风险的医疗保健获取和利用困难.
- 需要有针对性的干预措施,以解决患有结石病的弱势患者群体在获得护理方面的差异.
相关概念视频
Factors Affecting Renal Clearance: Renal Impairment
91
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
91
Renal Failure: Dose Adjustments
88
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
88
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
154
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
154
Dialysis
309
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
309
Disorders of the Urinary System
300
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
300
Nephrons
2.4K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
2.4K


