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在联邦资格医疗中心的眼科护理
Maria A Woodward1, Patrice M Hicks2, Kristen Harris-Nwanyanwu3
1Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan.
Ophthalmology
|May 2, 2024
概括
从2017年到2021年,联邦合格卫生中心 (FQHC) 的视力护理可用性略有增加. 然而,提供眼科护理的FQHC位于社会风险因素较高的社区,但服务的弱势患者较少.
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
- 眼科医生 眼科 眼科
背景情况:
- 联邦合格卫生中心 (FQHCs) 对于向服务不足的人群提供初级保健至关重要.
- 获得视力护理对整体健康和生活质量至关重要.
- 社会风险因素 (SRF) 可以显著影响健康结果和获得护理.
研究的目的:
- 评估2017年至2021年期间在FQHC内视力护理可用性的变化.
- 确定邻居级人口社会风险因素是否与提供眼科护理服务的FQHC有关.
主要方法:
- 使用卫生资源和服务管理局 (HRSA) 和美国社区调查 (ACS) 数据 (2017-2021) 的二次数据分析.
- 提供视力护理的FQHC与不提供视力护理的FQHC的比较,使用统计测试 (Wilcoxon-Mann-Whitney,chi-square).
- 逻辑回归模型用于评估邻里SRF和视力护理提供之间的关联,根据患者特征进行调整.
主要成果:
- 在FQHC的视力护理可用性从2017年的28.5%增加到2021年的32%.
- 在2021年,只有2.6%的FQHC患者接受了眼科护理.
- 提供视力护理的FQHC在西班牙裔/拉丁裔个人,医疗补助保险人员和非汽车家庭比例较高的社区更为普遍.
- 相反,视力护理的FQHC为西班牙裔/拉丁裔个人,医疗补助保险患者和处于联邦贫困线以下或以下的患者提供更低比例的服务.
结论:
- 视力护理服务存在于有限数量的FQHC中,集中在特定的州.
- 在FQHC中扩大眼科护理的准入是解决贫困社区视力损失的关键.
- 将眼科护理整合到FQHC中可以改善弱势患者群体的入口.
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