区域级社会经济地位影响澳大利亚炎症关节炎患者的医疗保健访问频率:来自澳大利亚风湿病学协会数据库的结果
Oscar Russell1, Susan Lester1, Rachel J Black2
1The Queen Elizabeth Hospital, Woodville, South Australia, Australia, and The University of Adelaide, Adelaide, South Australia, Australia.
Arthritis care & research
|October 28, 2024
概括
具有较高社会经济地位 (SES) 的个人对全科医生的访问较少,但对专业医生的访问更多. 较低的SES患者可能会获得低于最佳的专家护理,可能是由于自付费用.
科学领域:
- 类风湿病学 类风湿病学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 炎症性关节炎的最佳管理需要持续的风湿病学家护理.
- 社会经济地位 (SES) 可能会影响炎症性关节炎患者的医疗保健利用率和成本.
研究的目的:
- 调查SES与全科医生 (GP) 和专科医生访问频率之间的关联.
- 为了检查SES和口袋外 (OOP) 参观费用与炎症性关节炎患者之间的关系.
主要方法:
- 链接澳大利亚风湿病学协会数据库 (ARAD) 数据与制药福利 (PBS) 和医疗保险福利表 (MBS) 记录 (2011-2018).
- 使用相对社会经济优势和劣势指数的小面积五分位数进行近似SES.
- 采用了面板回归方法来分析访问频率和OOP成本,并根据相关的共变量进行调整.
主要成果:
- 较高的SES与年度GP访问频率相反相关,与专家医生访问频率直接相关.
- 与全科医生 (7.86美元) 相比,专家医生访问 (AUD$38.43) 的OOP平均成本显著高于GP访问 (AUD$7.86).
- 较高的SES与医疗保健访问的OOP总体支出增加有关.
结论:
- 与较低SES患者相比,SES较高的患者往往比GP服务更频繁地使用专家护理.
- 研究结果表明,SES较低的个体可能会遇到障碍,无法获得最佳的专业护理.
- 自助医疗费用被认为是导致专家医生利用率差异的潜在因素.
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