患者的种族/种族对优质眼内透镜利用的影响
Elena M Solli1, Christina R Prescott
1Department of Ophthalmology, NYU Grossman School of Medicine, New York, NY.
Eye & contact lens
|July 9, 2024
概括
种族和民族少数群体以及拥有公共保险的人在白内障手术期间不太可能获得高级眼内透镜 (IOL). 这项研究强调了获得先进视力校正技术的差异.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 健康的社会决定因素对医疗保健的获取和结果产生重大影响.
- 获得先进医疗技术的差异,例如高级眼内透镜 (IOL),需要进行调查.
研究的目的:
- 检查健康的社会决定因素与在白内障手术中使用优质内膜眼镜之间的关联.
- 确定获得高级视力纠正的潜在差异.
主要方法:
- 对接受白内障手术的患者的回顾性图表审查.
- 后勤回归分析以确定获得高级IOL的几率,控制种族/种族,年龄,性别,保险,收入和眼部病理.
主要成果:
- 与白人患者相比,黑人患者获得高质量的IOL的几率最低 (OR=0.220).
- 西班牙裔和亚洲裔患者也显示,接受高质量的IOLs的几率降低了.
- 患有医疗保险或医疗补助保险的患者接受高额IOLs的几率较低 (OR=0.522).
结论:
- 白人患者比非白人的患者更有可能获得优质的IOL,即使经过对关键的人口和临床因素的调整.
- 在溢价IOL吸收方面存在显著的差异,需要进一步探索潜在原因.
- 解决这些差异对于实现公平的眼科护理结果至关重要.
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