医疗保险受益人中的社会资本和手术接入
Hannah E W Myers1,2,3, Nicholas Kunnath1,2, Andrew M Ibrahim1,2,4
1Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
Annals of surgery
|August 14, 2024
概括
低社会资本地区的医疗保险受益者在访问敏感的条件下有更高的无计划手术率. 改善社区社会资本可能会减少对紧急行动的需求.
科学领域:
- 公共卫生 公共卫生
- 外科手术的结果
- 健康的社会经济决定因素
背景情况:
- 敏感的手术条件需要及时查和选择性治疗.
- 延迟对这些疾病的治疗可能会导致未计划的 (紧急或紧急) 手术.
- 代表网络资源的社会资本可能会影响计划外科手术的可能性.
研究的目的:
- 为了在不同级别的社区社会资本中比较接触敏感条件的非计划性手术率.
- 调查社会资本与外科手术结果 (如计划外手术,再入院,死亡率和并发症) 之间的关联.
主要方法:
- 分析了接受特定访问敏感程序 (2016-2020) 的医疗保险受益人.
- 参与者按人口普查区社会资本水平分层.
- 结果根据患者人口统计,并发病症和区域剥夺进行了风险调整.
主要成果:
- 低社会资本地区的受益人有更高的意外手术的可能性 (OR=1.26,P<0.001).
- 在较低的社会资本群体中观察到术后并发症的增加 (OR=1.12,P<0.001).
- 在社会资本群体之间,没有发现重新接收或死亡率的显著差异.
结论:
- 较低的社区社会资本与更高的非计划性手术率有关,这些手术用于访问敏感的条件.
- 旨在增强社区社会资本的战略可能会降低非计划性手术率.
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