支付人地位和种族差异在时间到手术的新出现的骨科手术程序
Jessica Schmerler1, Mark Haft, Sarah Nelson
1From the Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD.
概括
有医疗补助保险的患者和少数群体患者面临着更长的延迟出现的骨科手术. 这项研究强调了手术接入的差异,强调了需要改变政策,以确保为所有人及时提供护理.
科学领域:
- 整形外科手术 整形外科手术
- 健康差异 在健康方面存在差异.
- 外科手术的访问.
背景情况:
- 骨科紧急情况的手术管理延迟会增加患者的发病率和死亡率.
- 现有的研究发现了基于种族,社会经济地位和保险的医疗保健差异.
- 对于骨科紧急情况的手术时间的差异仍未得到充分探索.
研究的目的:
- 为了调查时间的差异到新兴的骨科手术.
- 为了确定付款人身份和种族/种族是否影响手术延迟.
主要方法:
- 对具体的骨科紧急情况的2012-2020年国家数据的分析.
- 多变量线性回归模型对患者人口统计,社会经济地位,医院环境和并发症进行了控制.
- 检查了付款人身份和种族/种族对手术时间的影响.
主要成果:
- 医疗补助患者在部骨折,大腿骨折,骨盆骨折,膝关节败血症和尾巴马体综合征的手术延迟时间明显长.
- 黑人患者面临更长的手术时间部骨折,股骨骨折,败血症膝盖,败血症部和尾巴马体综合征.
- 西班牙裔患者在部骨折,大腿骨折,骨盆骨折和尾巴马体综合征的手术延迟时间较长.
结论:
- 与私人保险和白人患者相比,医疗补助保险和少数民族患者在出现的骨科手术中遇到更长的延迟.
- 鉴定出的差异强调了需要解决手术接入方面的不平等问题.
- 未来的研究应该专注于这些延迟的根本原因,以告知促进公平及时手术护理的政策.
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