麻醉手术团队的性别多样性与主要发病率之间的关联
Julie Hallet1,2,3,4, Rinku Sutradhar4,5, Alana Flexman6,7
1Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
The British journal of surgery
|May 15, 2024
概括
在麻醉和外科手术团队中,性别多样性更高,超过35%的女性临床医生与更好的患者结果有关. 这种改善的手术团队多样性与重症术后发病率减少3%有关.
科学领域:
- 医疗保健管理的管理
- 外科手术的结果
- 团队动力学 团队动力学
背景情况:
- 团队多样性对绩效至关重要,但在医疗保健,特别是手术方面的数据有限.
- 麻醉手术团队的性别多样性对患者结果的影响仍然基本上是未知的.
研究的目的:
- 调查麻醉手术团队性别多样性与术后结果之间的关联.
- 确定手术团队中女性临床医生的代表性是否会影响患者的发病率.
主要方法:
- 2009-2019年成人主要住院手术的基于人口的回顾性队列研究.
- 研究了医院女性麻醉师和外科医生的百分比与90天主要发病率之间的相关性.
- 利用多变量逻辑回归和限制立方线来定义更高的多样性 (超过35%的女性临床医生).
主要成果:
- 总共分析了709,899项手术;14.4%的人经历了90天的重大发病率.
- 性别多样性较高的医院 (超过35%的女性临床医生) 显示,90天主要发病率的几率降低 (OR 0.97).
- 在接受女性麻醉师 (OR 0.92) 和外科医生 (OR 0.83) 治疗的患者中,观察到更大的益处.
结论:
- 在麻醉手术团队中增加的性别多样性与改善的术后结果有关.
- 在手术团队中达到超过35%的女性临床医生的临界质量与3%较低的重大发病风险相关.
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