分析了社会脆弱性指数和内陆帝国手术服务不足地区之间的关联
Brandon J Shin1, M Daniel Wongworawat1, Marti F Baum1
1Loma Linda University School of Medicine, Loma Linda, CA, USA.
Surgery open science
|April 9, 2024
概括
社会脆弱性与某个地区的外科医生数量相反,这表明外科手术接入的差异. 解决健康的社会决定因素对于公平的医疗保健政策和实践至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 美国在为不同人口提供公平的外科手术接入方面面临着挑战.
- 社会脆弱性是影响健康结果和获得护理的关键因素.
研究的目的:
- 调查社会脆弱性指数 (SVI) 与人口普查区域内外科医生人数之间的关系.
- 用内陆帝国作为案例研究来建模外科手术接入差异.
主要方法:
- 利用CDC的2018年SVI数据库对823个人口普查区域进行了利用.
- 将SVI数据与来自AMA 2018年医生主档1008名外科医生的人口统计信息进行了比较.
- 采用了斯皮尔曼的双变量和多重回归分析.
主要成果:
- 发现外科医生密度和整体社会脆弱性之间存在显著的反向关系 (ρ = -0.266,p < .001).
- 每个SVI类别,包括社会经济和少数民族地位/语言,都与外科医生数量呈反向相关性.
- 多重回归确定了较高的人均收入和较大的白天/总人口与更多的外科医生有关.
结论:
- 社会脆弱性是手术获得差异的重要预测因素.
- 需要进一步的研究来了解外科医生在人口健康中的作用.
- 调查结果强调了健康的社会决定因素在医疗保健政策和实践中的重要性.
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