一致的因素影响身体质量指数在整个医疗保健系统的关节整形术的门:一项定性研究
Kristine Godziuk1, Andrew Fast2, Christiaan H Righolt2,3
1Department of Agricultural, Food and Nutritional Science, Faculty of Agricultural, Life and Environmental Sciences, University of Alberta, Edmonton, Alberta, Canada.
加拿大外科医生,就像他们的美国同行一样,面临着复杂的因素,影响身体质量指数 (BMI) 限制对全关节形术 (TJA). 这些相互关联的问题凸显了需要平衡的方法,以确保所有患者安全和公平的手术接入.
科学领域:
- 整形外科手术 整形外科手术
- 医疗服务研究 医疗服务研究
- 患者获得护理的机会.
背景情况:
- 体重指数 (BMI) 值通常用于全关节整形术 (TJA),以减轻手术风险.
- 这种做法可能过分简化风险评估,并限制患者获得关节炎治疗的必要条件.
- 以前的研究发现了影响美国外科医生BMI考虑的复杂因素.
研究的目的:
- 调查加拿大整形外科医生对TJA的BMI标准的看法.
- 为了确定影响加拿大的BMI考虑因素是否与美国的因素相似.
- 在不同的医疗保健系统中探索BMI在TJA资格方面的细微差别.
主要方法:
- 一个横截面的在线定性调查被管理到加拿大骨科外科医生执行TJA.
- 回答是匿名的,利用开放式问题收集坦率的见解.
- 调查数据经过系统编码以确定主要主题,结果与美国外科医生的观点进行了比较.
主要成果:
- 69名外科医生参与了这项研究,报告了BMI值在他们的实践中的可变应用.
- 确定了影响BMI考虑的12个相互关联的因素,包括证据解释,手术挑战,外科医生的信念,医院资源和患者特定因素.
- 其中9个主题与美国外科医生的类似研究结果一致.
结论:
- 加拿大整形外科医生对TJA的BMI限制的使用受到复杂,相互关联的因素的影响,类似于美国的因素.
- 尽管医疗保健系统存在差异,但技术和个人因素发挥着重要作用.
- 指南建议不要严格限制BMI,强调需要改善BMI较高的患者的资源获取,手术培训和创新,以确保公平的护理.
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