创伤性手指截肢患者的金融毒性:一项回顾性研究
Victor Agbafe1,2, Erika D Sears3,4, Clarice E Gaines3
1University of Michigan Medical School, Ann Arbor, USA.
Hand (New York, N.Y.)
|November 16, 2024
概括
接受手指截肢手术的患者经历了财务毒性,或因医疗费用而痛苦. 保险类型和婚姻状况显著影响这种财务负担,影响患者的福祉.
科学领域:
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
- 患者的治疗结果.
背景情况:
- 财务毒性 (FT) 对患者来说是一个日益关注的问题,定义为与医疗治疗费用相关的情感痛苦.
- 在上肢创伤的背景下,FT的研究有限.
研究的目的:
- 调查经历过创伤性手指截肢的患者中金融毒性的患病率和相关因素.
主要方法:
- 在2011年10月至2021年1月期间,对遭受创伤性手指截肢的患者进行了一项调查.
- 患者报告的财务困难使用财务毒性综合评分 (COST-11) 来衡量.
- 线性回归分析确定了与FT相关的患者特征.
主要成果:
- 该研究包括46名患者 (24%的应答率),其中89%接受了修复截肢.
- 与医疗保险或工人赔偿金患者相比,有商业保险的患者报告了更差的FT (较低的COST-11分数).
- 单身/从未结婚的患者也经历了明显更糟糕的FT.
结论:
- 财务毒性是创伤性手指截肢患者的一个重要问题.
- 保险状况和婚姻状况是影响FT的关键因素,强调了不足保险和社会支持对经济福祉的影响.
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