保险类型对获得儿科外科护理的影响
Rachel R Watson1, Cassi J Niedziela1, Laura C Nuzzi1
1From the Department of Plastic and Oral Surgery, Boston Children's Hospital and Harvard Medical School, Boston, Mass.
Plastic and reconstructive surgery. Global open
|May 27, 2024
概括
与私人保险患者相比,公共保险患者在儿科手术中错过的护理机会 (MCO) 显著增加. 然而,手术治疗和预约取消的机会在各保险集团之间没有差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科手术 儿科手术
- 健康 公平 卫生 公平
背景情况:
- 保险类型对医疗保健的获取和结果产生重大影响.
- 了解儿科外科护理的差异对于改善患者的治疗结果至关重要.
- 之前的研究表明,基于保险状况,在护理方面存在潜在的不平等.
研究的目的:
- 评估保险类型对儿科外科护理准入的影响.
- 分析公共和私人保险集团之间安排,取消和错过护理机会 (MCO) 的差异.
- 识别儿童公平外科护理的潜在障碍.
主要方法:
- 在2019年接受手术的457名患者的回顾性评估.
- 对人口统计,临床特征和保险类型的分析.
- 倾向性得分匹配和线性回归用于评估保险对访问和MCO的影响.
主要成果:
- 保险集团之间的咨询延迟或诊所取消没有显著差异.
- 有公共保险的患者患医院MCO的比率高7.4倍 (P < 0.001).
- 公共保险患者的临床MCO的4.7倍 (P = 0.007).
结论:
- 虽然及时访问和取消率相似,但公共保险与儿科手术中更高的MCO有关.
- 错过护理机会的差异凸显了有针对性的干预措施的必要性.
- 需要进一步的研究来解决影响边缘化患者获得外科护理的障碍.
相关概念视频
Introduction To Health Care Delivery System
2.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Psychosurgery
53
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
53
Standards of Care I
675
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
675
Methods of Documentation VI: Case Management Model
569
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
569
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K


