在COVID-19大流行期间,对影响儿科诊断放射学利用的社会经济决定因素的数据科学分析
Sebastian Gallo-Bernal1,2, Valeria Peña-Trujillo1,2, Daniel Briggs1,2
1Massachusetts General Hospital, 55 Fruit St, Austen 250, Boston, MA, 02114, USA.
Pediatric radiology
|September 17, 2024
概括
随着COVID-19大流行,儿科放射科的错过护理机会显著增加,特别是对于西班牙裔患者和来自低收入家庭的患者. 数据科学方法揭示了健康的社会决定因素如何影响这些至关重要的成像服务的获取.
科学领域:
- 放射学 放射学是一门学科.
- 健康差异 在健康上的差异
- 数据科学数据科学数据科学
背景情况:
- 关于儿科放射学中医疗保健差异的研究有限.
- 由于这些差异,错过的护理机会 (MCO) 仍然存在.
- 由于COVID-19的流行,人们可能无法获得儿科放射学服务.
研究的目的:
- 评估与儿科放射学MCO相关的健康和社会人口因素的社会决定因素.
- 分析这些因素在COVID-19大流行之前,期间和之后.
主要方法:
- 分析了2019年3月至2021年6月的62,009次门诊儿科放射学检查.
- 使用LASSO的后勤回归和分类和回归树 (CART) 分析.
- 确定了影响MCO的因素,跨越了流行病前,流行病和恢复阶段.
主要成果:
- 在疫情期间,错过的护理机会 (MCO) 增加到33.5%,高于疫情前的17.1%.
- 流行病预测因素包括收入,距离和种族.
- 在大流行期间,西班牙裔患者,低收入患者和婴儿面临更高的MCO赔率.
结论:
- 数据科学有效地揭示了社会人口学因素和儿科放射学差异之间的复杂关系.
- 这些见解对于解决医疗保健获取方面的不平等至关重要.
- 有针对性的干预措施可以减轻MCO并改善公平的护理服务.
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