在 Clubfoot 诊所的社会劣势和交通不安全
Melissa A Bent1,2, Michelle Jhun1, Veronica Beltran1
1Jackie and Gene Autry Orthopedic Center, Children's Hospital Los Angeles.
Journal of pediatric orthopedics
|October 21, 2024
概括
交通障碍和较低的社会经济地位,包括儿童机会指数 (COI),与错过的脚诊所预约有关. 解决这些因素可以改善患者的坚持和结果.
科学领域:
- 儿科整形外科 儿科整形外科
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 脚治疗需要持续的诊所访问,以获得最佳的结果.
- 交通障碍和社会经济因素可能会对医疗保健的获取和遵守产生重大影响.
研究的目的:
- 调查错过的足诊所访问和交通障碍之间的关联.
- 评估社会经济地位,包括儿童机会指数 (COI) 在错过预约中的作用.
主要方法:
- 对99名儿童脚患者的护理人员进行了调查.
- 分析了护理人员对运输方式和工作调整的反应.
- 儿童机会指数 (COI) 评分是使用患者邮政编码来确定的.
- 使用描述性和非参数统计数据来分析各种因素对错过访问的影响.
主要成果:
- 较低的COI得分与较长的旅行时间和减少个人汽车使用有关.
- 在使用非个人车辆运输的家庭中,错过的脚诊所访问更为频繁 (P=0.01).
- 年收入低于3万美元的家庭更有可能错过预约 (P=0.02).
结论:
- 交通不安全与更大的社会劣势有关,正如COI所指出的那样.
- 解决交通挑战和社会经济差距对于减少错过的脚诊所访问至关重要.
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