通过社区免费诊所-门诊外科中心合作伙伴关系提供外科护理
Flora S Park1, Jonathan C Pang1,2, Christopher D Yang1
1Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Irvine School of Medicine, University of California, Orange, CA, USA.
The American surgeon
|July 19, 2024
概括
免费的外科手术服务显著改善了无保险患者的身体健康. 需要进一步的支持来增强这一群体的情感福祉.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 健康差异 在健康上的差异
背景情况:
- 低保险造成了手术护理获得的巨大差异.
- 社区免费诊所为医疗服务不足的人提供服务,但往往缺乏手术服务.
- 解决手术护理缺口对于弱势群体至关重要.
研究的目的:
- 评估获得免费外科手术服务的无保险患者的长期生活质量结果.
- 评估免费外科手术对身体和情感健康的影响.
- 确定改善保险不足的外科患者护理的潜在领域.
主要方法:
- 142名接受免费手术服务的患者的回顾性图表审查 (2016年3月 - 2021年9月).
- 长期生活质量 (LTQOL) 评估使用经过修改的退伍军人兰德12项健康调查.
- 招募患者 1-3年后的程序,以评估结果.
主要成果:
- 患者队列主要是西班牙裔/拉丁裔 (95.7%) 和没有保险的人 (75.6%).
- 免费的手术导致了12名患者及时诊断出癌症/癌前病变.
- 观察到低的术后并发症率 (3.5%),在手术后的身体 (59.7%) 和情绪 (52.2%) 状况有显著改善.
结论:
- 免费的外科手术服务可以安全有效地改善无保险患者的长期身体健康.
- 诊断查促进了及时诊断.
- 建议进行多学科的随访和社会支持,以满足情绪和心理健康需求.
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