在儿科人口中获得脊椎病治疗的社会经济差异
Steven M Garcia1, Kian Niknam1, Faith Sumandea2
1Department of Orthopaedic Surgery, University of California, San Francisco, 744 52nd Street, #1418, Oakland, CA, USA.
在农村和城市地区,儿科青少年异常学脊椎病 (AIS) 患者的手术结果在农村和城市地区之间是相似的. 然而,农村患者经历了更高的90天再入院和仪器移除率,可能与保险差异有关.
科学领域:
- 儿科整形外科 儿科整形外科
- 脊柱外科手术 脊柱外科手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 青少年异常学脊椎病 (AIS) 影响了许多儿科患者,其中有一小部分需要手术干预.
- 现有研究强调了AIS护理中的种族,种族和保险差异.
- 在AIS手术护理中的地理差异仍然未被充分探索.
研究的目的:
- 调查青少年异常学脊椎病 (AIS) 手术护理的地理差异.
- 为了比较农村和城市儿科AIS患者之间的再入院,感染和修订率.
- 确定可能导致观察到的医疗保健差异的潜在因素.
主要方法:
- 使用儿科健康信息系统 (PHIS) 数据库进行回顾性队列研究.
- 包括2015年10月至2022年7月期间为AIS接受后脊髓融合 (PSF) 的儿科患者.
- 统计分析包括T测试,Chi平方测试和后勤回归来比较农村和城市群体.
主要成果:
- 分析了15,318名儿科AIS患者的队列.
- 虽然基线人口统计数据相似,但农村患者的医疗补助使用率较高,家庭收入中位数较低.
- 整体并发症率没有显著差异,但农村患者的90天再入院率 (7.3%对6.1%) 和仪器移除率 (7.7%对4.9%) 较高.
结论:
- 接受PSF的儿科AIS患者的外科治疗结果在农村和城市环境之间在很大程度上可以比较.
- 农村AIS患者的90天再入院和仪器移除率较高,需要进一步调查.
- 保险状况是观察到的地理差异的潜在驱动因素,需要有针对性的干预.
更多相关视频
05:30Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
06:28Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
相关概念视频
Secondary Healthcare System
Standards of Care I
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
