保险状况的差异会对患有婴儿过度增强型胆道狭窄症的患者产生负面影响
Daniel A Reich1, Genesys Giraldo2, William Canty2
1College of Medicine, University of Florida, 1142 SW 9th Rd. Unit 401, Gainesville, FL, 32601, USA. Daniel.reich@ufl.edu.
Pediatric surgery international
|May 8, 2024
概括
影响健康的社会决定因素 婴儿过度增强型胆道狭窄症 (IHPS) 护理. 医疗补助管理护理 (MMC) 可以改善IHPS婴儿的护理机会,从而导致更早的诊断和治疗.
科学领域:
- 儿科手术 儿科手术
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 婴儿过度增强型胆固醇狭窄症 (IHPS) 是婴儿常见的一种手术条件.
- 在出现之前长时间的疾病持续时间与更糟糕的IHPS结果有关.
- 健康的社会决定因素 (SDOH) 可能会影响IHPS患者的医疗保健准入和结果.
研究的目的:
- 评估SDOH如何影响IHPS婴儿的医疗护理和结果.
- 评估医疗补助管理护理 (MMC) 对IHPS患者护理和结果的影响.
主要方法:
- 十年来279个IHPS病例的回顾性审查.
- 使用人口普查数据 (地理标识代码) 作为社会经济地位的代理.
- 与IHPS呈现和结果相关的食物获取和社会脆弱性变量.
- 细分队列来分析阶段性MMC实施的影响.
主要成果:
- 在阶段性MMC实施后呈现的婴儿在呈现时比较老 (41.5 vs 36.5天),并且有更长的症状过程 (12.8 vs 8.9天).
- 没有观察到种族,性别或群体之间停留时间的显著差异.
- 在MMC后获得公共保险的婴儿更有可能得到及时的门诊儿科随访 (1个月内).
结论:
- 阶段性MMC实施与IHPS的较长呈现年龄和较长的症状持续时间有关.
- 尽管有延迟,MMC可能已经改善了公共保险婴儿IHPS的门诊随访率.
- SDOH,特别是通过MMC等保险模式,在IHPS护理提供和结果中发挥着至关重要的作用.
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