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综合计算机化步态分析:儿童和青少年进入障碍的障碍

Melissa A Bent¹, Susan Rethlefsen², Veronica Beltran²

¹Jackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles, USA; Keck School of Medicine, University of Southern California, Los Angeles, USA.

|July 13, 2024

概括

医疗和保险类型的社会决定因素显著延迟了全面的计算机化步态分析 (CGA) 的获得. 了解这些障碍是提高所有需要这种骨科工具的患者可用性的关键.

科学领域:

整形外科整形外科整形外科
医疗保健服务研究医疗服务研究
健康的社会经济决定因素

背景情况:

全面的计算机化步态分析 (CGA) 对于骨科手术规划和改善患者的治疗结果至关重要.
尽管已证明有好处,但对许多符合条件的患者来说,CGA的获取仍然有限.
对CGA访问的障碍需要调查,以确保公平的医疗保健服务.

研究的目的:

调查健康的社会决定因素对全面计算机化步态分析 (CGA) 的影响.
确定影响CGA可访问性的特定因素,包括保险类型和社会经济地位.

主要方法:

对于2021年至2022年间的CGA转诊患者病历的回顾性审查.
提取转介日期,保险授权时间表,并完成CGA.
利用邮政编码来确定社区的社会经济地位 (SES),并使用非参数统计数据分析数据.

主要成果:

保险类型显著影响了授权时间表:HMO (中位数为51.5天) 和公共保险 (中位数为27天) 比私人/自付 (中位数为9天) 长.
下一个社区的SES与更长的授权时间相关,但授权后的完成时间更短.
重定时与延长完成时间有关 (中位数为29.5 vs. 16天),白人,非西班牙裔家庭更频繁地重定时.

结论:

医疗和保险类型的社会决定因素是导致CGA获得授权的延迟的重要因素.
与PPO/自付患者相比,有公共或HMO保险的患者面临授权障碍.
解决这些多方面的障碍是必要的,以扩大对可受益的所有患者获得CGA的机会.

关键词:

获得护理服务的机会.步态分析步态分析保险保险保险是一种保险.健康的社会决定因素

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