关节整形术的障碍:高贫困和低贫困社区的比较
J Alex B Gibbons1, Insa Mannstadt1, Troy B Amen2
1Hospital for Special Surgery and Columbia University, New York, New York.
Arthritis care & research
|November 14, 2024
概括
高贫困社区的居民面临更大的障碍,以整体关节整形手术 (TJA),特别是关于外科医生的信任和手术结果的恐惧. 解决这些差异对于公平获得医疗保健至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 健康差距 研究 研究 研究 研究
- 社会医学科学 社会医学科学
背景情况:
- 整体关节整形术 (TJA) 是一种常见的骨关节炎手术.
- 社会经济因素可能会影响TJA的获取和结果.
- 了解高贫困社区的障碍对于公平的护理至关重要.
研究的目的:
- 确定高贫困社区与低贫困社区中TJA的主要障碍.
- 根据社区贫困水平,比较特定的TJA障碍的重要性.
主要方法:
- 一项调查评估了TJA的五个潜在障碍:信任,恢复,成本/保险,对结果的恐惧和时间.
- 参与者在5分利克特级别上对障碍的重要性进行了评分.
- 后勤回归分析了社区贫困状况 (≥20%的贫困) 和感知障碍的重要性之间的关联.
主要成果:
- 702名参与者的16.8%居住在高贫困社区.
- 高贫困社区的居民更有可能报告"非常或极其重要的"障碍.
- 具体来说,对外科医生的信任 (aOR 1.87) 和对外科手术结果不佳的恐惧 (aOR 1.68) 在高贫困地区显著增加.
结论:
- 对外科医生的信任和对手术结果不佳的恐惧是高贫困社区个人TJA的重大障碍.
- 这些发现突出了与社会经济地位相关的TJA获取差异.
- 可能需要有针对性的干预措施来解决这些具体问题,并改善服务不足人群中TJA的吸收.
更多相关视频
07:45The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
3.3K
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.5K
相关概念视频
01:21Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:26Traditional Level Of Health Care System
2.7K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.7K
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K
01:30Preventive Healthcare Services
972
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
972