根据医生的经验和在美国实践的位置,比较传统和最新的玻璃眼手术
Grace Xiao1,2, Michael V Boland3
1School of Medicine, Johns Hopkins University, Baltimore, MD.
Journal of glaucoma
|October 23, 2024
概括
医生实践地点和认证年份影响了对玻璃眼外科手术的选择. 大都会医生和最近获得认证的医生进行了更传统的玻璃眼手术,影响了患者的访问和结果.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
背景情况:
- 微创性玻璃眼手术 (MIGS) 的采用在玻璃眼治疗中正在增加.
- 了解影响采用新手术程序的因素至关重要.
研究的目的:
- 研究医生实践特征与传统与MIGS程序的利用之间的关联.
- 为了确定采用传统的玻璃眼手术的预测因素.
主要方法:
- 使用2019年医疗保险和医疗补助服务中心 (CMS) 医生支付数据进行的横截面研究.
- 分析包括2625名美国提供者进行传统,MIGS或两种青光眼手术.
- 多变量回归模型评估了认证年,城市化和收入对程序分配的影响.
主要成果:
- 大都市地区的医生执行的传统手术比例更高 (0.24对比0.08).
- 在较晚的认证年和较高比例的传统程序之间发现了正相关性.
- 认证年份,城市化程度和实践收入显著预测了传统程序的比例.
结论:
- 医生因素,包括实践地点 (大都市) 和实践持续时间 (最近的认证),与执行更大比例的传统玻璃眼手术有关.
- 这些发现突出了与实践相关的影响在眼外科手术技术的分布.
- 需要进一步的研究来探索对患者获取和结果的影响.
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