使用血管沙漠作为四肢保护推广计划的指南,成功地准了受忽视的人口
Kathryn DiLosa1, Misty D Humphries1, Vanessa Mora Molina2
1Department of Surgery, University of California, Davis Health, Sacramento, CA.
Annals of vascular surgery
|July 27, 2024
概括
综合性心脏和多学科四肢保护推广网络 (CHAMPIONS) 计划成功地确定并选了血管沙漠中患心血管疾病的风险人群. 这些外展工作的目标是服务不足的地区,突出了需要可访问的血管护理.
科学领域:
- 血管外科 血管外科
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 血管沙漠,定义为缺乏血管提供者的地区,是肢体救援计划的关键目标.
- 综合性心脏和多学科肢体保护外展网络 (CHAMPIONS) 计划旨在通过使用专门的绘图工具进行有针对性的外展和人口评估来解决这些差异.
研究的目的:
- 评估CHAMPIONS计划在为外围动脉和心血管疾病 (PACD) 识别和选服务不足的血管沙漠地区的人口中的有效性.
- 分析目标血管沙漠参与者健康的人口和社会决定因素.
主要方法:
- 在2022年至2023年期间,在服务不足的地区举办了两次外展活动,对参与者进行了PACD的查和教育.
- 利用地理信息系统 (GIS) 地图识别血管提供者和设施,叠加参与者人口普查数据和健康地点指数 (HPI) 来分析医疗服务研究区域 (MSSA) 内的健康的社会决定因素.
主要成果:
- 参与者主要是西班牙裔 (86%),患有大量未诊断的糖尿病 (10%) 和高血压 (40%).
- 高比例的参与者报告年收入低 (81%<30,000美元),缺乏医疗保险 (28%).
- 与其他血管性沙漠地区相比,目标人口在经济,教育和交通领域表现出更大的劣势,与减少医疗保健准入相关.
结论:
- 冠军计划成功地识别和选了心血管疾病的风险人群在血管沙漠.
- 这项研究表明,使用血管护理沙漠地图来准和吸引服务不足的人群进行必要的健康查的可行性.
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