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评估性别肯定手术利用和医院一级经验的种族差异
Peter E Shamamian1, Daniel Y Kwon1, Olachi Oleru1
1Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, New York, NY 10029, USA.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|November 14, 2024
概括
接受性别确认手术的黑人/非洲裔美国患者经历了更多的医学并发症,更长的住院时间和更高的费用. 这些发现凸显了少数群体寻求性别确认护理的持续医疗保健差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 外科手术的结果
背景情况:
- 种族,民族和性别少数群体历来在医疗保健获得和体验方面面临着挑战.
- 种族/民族和性别认同的交叉性可能会加剧性别肯定性手术患者的医疗保健缺陷.
- 现有的文献表明,少数群体的医疗保健存在差异.
研究的目的:
- 调查性别肯定性生殖器手术的住院患者体验中的种族差异.
- 分析经过性别确认手术的种族群体之间的并发症,停留时间,出院和成本的差异.
主要方法:
- 对2018-2021年医疗保健利用项目的分析 国家住院调查.
- 包括4605名接受性别确认手术的患者.
- 数据按种族分层 (白人,黑人/非裔美国人,西班牙裔/拉丁裔,亚洲人/太平洋岛民) 以评估人口统计,安全和医院特征.
主要成果:
- 黑人/非洲裔美国患者 (队列的7%) 呈现出更高的住院医疗并发症率 (3% vs. 1%整体) 和更长的住院时间 (5 vs. 3 天).
- 黑人/非裔美国人患者的医院费用总额最高 (130,873美元),而且常规出院的可能性较低 (81%对94%).
- 更多的黑人/非洲裔美国患者在出院后需要更高水平的护理,例如家庭医疗保健或设施转移 (17%与6%的总体).
结论:
- 在接受性别肯定性生殖器手术的非白人个人中,医疗保健的显著差异仍然存在.
- 黑人/非洲裔美国患者面临更复杂的住院和出院过程.
- 调查结果强调需要有针对性的干预措施来解决性别肯定性手术护理中的不平等问题.
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