通过健康的社会决定因素对过度活跃的膀治疗类型的变化
Jaclyn M Muñoz1, Edward K Kim2, Uduak U Andy1
1From the Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA.
Urogynecology (Philadelphia, Pa.)
|December 29, 2024
概括
健康的社会决定因素影响过度活动的膀/紧急尿失禁 (OAB/UUI) 治疗. 低收入或特定保险类型的患者接受了不同的OAB/UUI治疗,影响了药物选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 了解健康的社会决定因素 (SDOH) 与过度活动的膀/紧急尿失禁 (OAB/UUI) 治疗之间的联系是有限的.
- 诸如保险状况和收入等SDOH因素可能会影响待遇差异.
研究的目的:
- 调查OAB/UUI治疗类型是否根据SDOH,特别是保险和估计家庭中位数收入 (EMHI) 变化.
主要方法:
- 一项横截面研究分析了2017-2022年33,002名OAB/UUI成年患者的数据.
- 通过逻辑回归来检查SDOH和OAB/UUI治疗提供,特定疗法和专业护理之间的关联.
主要成果:
- 治疗提供与种族,种族,保险类型 (医疗补助,低收入医疗保险,医疗保险优势) 和EMHI有关.
- 黑人/非洲裔美国患者和EMHI较低的患者更有可能接受抗胆固醇药物,更不可能接受β3激动剂.
- 先进疗法和专业护理的获取也显示了与特定的SDOH因素的关联.
结论:
- 提供和类型的OAB/UUI治疗与种族,种族,保险和收入有很大关系.
- 存在差异,某些人群更有可能接受特定的,可能不太理想的OAB/UUI治疗,尽管获得专业护理.
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