乳腺癌手术等待时间的社会经济不平等
Maria Ana Matias1, Rita Santos1, Luigi Siciliani1,2
1Centre for Health Economics, University of York, York, UK.
Health economics
|October 4, 2024
概括
在COVID-19期间,英格兰的患者在英格兰接受治疗.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
背景情况:
- 迅速获得癌症护理对于减轻不良健康结果至关重要.
- 基于需要的公平获取是公共医疗保健系统的基石.
- 在获得医疗保健,特别是癌症手术方面的社会经济差异需要持续调查.
研究的目的:
- 检查英格兰乳腺癌手术等待时间的社会经济不平等.
- 为了比较COVID-19大流行之前和期间的等待时间.
- 评估收入剥夺和手术等待时间之间的关联.
主要方法:
- 使用的医院病例统计数据为接受乳房切除或乳房保护手术的患者.
- 采用线性回归模型来分析等待时间与区域级收入剥夺相比.
- 对人口统计因素,并发症,过去的入院和医院特征进行控制,单独分析COVID-19前和COVID-19期间.
主要成果:
- 在COVID-19之前的时期,收入剥夺和手术等待时间之间没有统计学上显著的关联.
- 在COVID-19期间,来自最贫困地区的患者的等待时间增加了0.7天 (平均等待时间为20.6天).
结论:
- COVID-19大流行加剧了现有的健康不平等,导致贫困地区患者的乳腺癌手术等待时间更长.
- 监测和解决癌症治疗获得的社会经济差异至关重要,特别是在公共卫生危机期间.
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