在医疗补助受益者中选择性关节置换:种族和民族群体的利用和术后不良事件
Hyunjee Kim1, Kyle D Hart1, Angela Senders1
1Center for Health Systems Effectiveness, Oregon Health and Science University, Portland, Oregon, USA.
Population health management
|March 5, 2024
概括
在医疗补助受益人的联合替代护理中存在种族和种族差异. 黑人患者在关节和膝关节置换手术后面临的紧急诊所和再入院的风险更高.
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
- 健康 公平 卫生 公平
背景情况:
- 在Medicare受益者中记录了关节和膝关节置换术的使用和结果的种族和种族差异.
- 有限的数据存在于医疗补助人口中的这些差异.
研究的目的:
- 调查选择性关节置换使用的种族和民族差异.
- 检查医疗补助受益人中术后不良事件的种族和民族差异.
主要方法:
- 对接受可选关节置换的受益人2018年医疗补助申请数据的分析.
- 跨种族和民族群体的利用率和90天术后不良事件 (急诊室访问,再接收) 的比较.
主要成果:
- 与其他群体相比,亚裔和西班牙裔受益者使用关节置换术的比例较低.
- 黑人受益者出现90天急诊 (34.8%) 的概率最高,并增加了再接收率 (8.0%).
- 在种族和民族之间观察到术后不良事件的显著差异.
结论:
- 这项研究突出了医疗补助受益者在联合替代护理方面的显著种族和种族差异.
- 黑人患者经历不成比例地更高的不良术后结果的比率.
- 需要进一步的研究来了解导致这些差异的因素.
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