进入美国专科护理的障碍:患者的观点
Robert Schuldt1, Kimberly Jinnett2
1Genentech Inc., 1 DNA Way, South San Francisco, CA, 94080, USA. schuldtr@gene.com.
BMC health services research
|December 5, 2024
概括
在美国,获得专业护理对许多人来说是具有挑战性的,近三分之一的人面临障碍. 年轻人,妇女和BIPOC人群遇到更大的困难,通常是由于预约延迟和长时间等待.
科学领域:
- 医疗保健的获取和差距
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
背景情况:
- 专科护理在美国医疗保健系统中至关重要.
- 在美国的各个地区和人口统计数据中,在获得专科护理方面存在差异.
- 了解这些差异对于政策和实践至关重要.
研究的目的:
- 为改善美国专科护理的医疗政策和实际解决方案提供信息.
- 检查患者对获得专业护理的观点.
- 调查五个关键专业领域的获取:瘤学,神经学,眼科,内分泌学和其他专业.
主要方法:
- 来自兰德美国生活小组 (RAND American Life Panel) 的调查数据,这是一个基于互联网的全国代表性小组.
- 分析了2,137名成年人关于他们获得专业护理的经验的回应.
- 专注于2021年患者报告的障碍和经验.
主要成果:
- 美国28%的人口在2021年面临的障碍,无法为自己或家人获得专业护理.
- 在美国人口普查地区和社会人口统计学群体中发现了访问差异.
- 65岁以下的受访者,女性和BIPOC个人报告了更高的访问困难率. 主要障碍包括预约安排问题和漫长的等待时间.
结论:
- 患者获得专科护理的机会是复杂的,受到多种因素的影响.
- 综合患者特定因素,如转诊量和保险影响访问.
- 解决预约延迟和等待时间对于改善专科护理可访问性至关重要.
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