美国COVID-19的医院患者的农村死亡率处罚
Jeffrey A Thompson1, Dinesh Pal Mudaranthakam2, Lynn Chollet-Hinton2
1Department of Biostatistics & Data Science, University of Kansas Medical Center, 3901 Rainbow Boulevard, 5032A Robinson Hall, Kanas City, KS, 66160, USA. jthompson21@kumc.edu.
Population health metrics
|August 14, 2024
概括
农村死亡率的惩罚,农村地区的死亡率更高,仍然存在. 农村的COVID-19患者在更糟糕的条件下被录取,突出了医疗保健获取和结果的差异.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 农村健康差异 农村健康差异
背景情况:
- COVID-19大流行突显了农村死亡率的惩罚,农村的死亡率高于城市地区.
- 诸如获得护理,人口年龄和行为等因素是可疑的驱动因素,但对延迟护理和结果的定量联系缺乏研究.
- 了解这些因素对于制定有效的公共卫生政策来解决农村健康不平等至关重要.
研究的目的:
- 在COVID-19大流行期间,量化评估延迟医疗保健接入对农村患者结果的影响.
- 调查导致农村和城市COVID-19患者进入美国医院的结果差异的因素.
- 为了测试这个假设,在入院时病人的病情恶化解释了一些农村死亡率的惩罚.
主要方法:
- 2020年3月至2023年2月期间入院美国医院的COVID-19患者的横截面分析.
- 农村与城市患者群体在入院时的状况,整体健康状况和年龄方面的比较.
- 统计分析以确定与死亡率差异相关的因素.
主要成果:
- 在研究的COVID-19患者群体中,农村死亡惩罚得到证实.
- 与城市患者相比,农村患者更有可能在更糟糕的条件下入院.
- 农村患者的整体健康状况较差,平均年龄大于城市患者.
结论:
- 农村死亡惩罚早于COVID-19大流行,需要持续的干预.
- 解决导致农村患者在更糟糕的健康状况下入院的潜在因素至关重要.
- 这些差异可能会影响COVID-19死亡率以外的各种医疗保健结果.
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