评估慢性腰部疼痛患者的社会风险和医疗保健利用之间的关联
Sang S Pak1, Yuxi Jiang1, Dmytro S Lituiev2
1Department of Physical Therapy and Rehabilitation Science, School of Medicine, University of California San Francisco, San Francisco, CA, USA.
Pain reports
|October 11, 2024
概括
住房不稳定和粮食不安全等社会风险会影响慢性腰痛 (cLBP) 患者的医疗保健使用. 解决这些因素可能会改善结果并降低成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 疼痛管理 疼痛管理
背景情况:
- 慢性腰部疼痛 (cLBP) 患者的护理受到社会风险因素的重大影响.
- 粮食不安全和住房不稳定等社会风险会对患者健康,医疗保健结果产生负面影响,并导致健康差异.
研究的目的:
- 研究cLBP患者的社会风险因素和医疗保健利用之间的关联.
- 评估社会风险因素对医疗保健利用的影响,控制背部疼痛相关的残疾.
主要方法:
- 在城市学术医疗中心对1295名cLBP患者进行了回顾性横截面研究 (2018-2020年).
- 在EHR数据中发现的社会风险 (金融不安全,住房不稳定,粮食不安全,交通障碍,社会隔离).
- 医疗保健利用结果包括ED访问/住院,成像,专科访问和物理治疗 (PT) 访问.
- 用于测试关联的普森回归模型.
主要成果:
- 在12.8%的患者中,发现了社会风险.
- 社会孤立与增加的成像,专业和PT访问有关.
- 住房不稳定与更高的ED访问/住院和成像相关.
- 粮食不安全与更高的ED访问/住院和专业访问有关,但PT访问较少.
- 与更多的PT访问,但较少的ED访问/住院治疗相关的财务压力.
结论:
- 确定的社会风险与cLBP患者的医疗保健利用模式有明显的关联.
- 这些协会独立于其他社会经济因素而持续存在.
- 对社会风险因素的干预可以改善患者的治疗结果,并节省成本.
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