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儿科患者的外科干预的差异 患有下粘膜裂 palatus 和大鼻功能障碍的儿科患者的外科干预差异
Soukaina Eljamri1, Pooja D Reddy1, Amber Shaffer2
1Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
概括
来自不太弱势社区的患者早些时候接受了下裂 palates (SMCP) 和 velopharyngeal 功能障碍 (VPD) 的手术. 健康的社会决定因素对于及时的SMCP和VPD治疗至关重要.
科学领域:
- 面外科手术 面外科手术
- 儿科耳鼻喉科 儿科耳鼻喉科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 下裂口 (SMCP) 和腹腔大功能障碍 (VPD) 通常需要手术干预.
- 影响外科手术准入和时间的因素对于最佳患者结果至关重要.
- 健康的社会决定因素可能在医疗保健差异中起作用.
研究的目的:
- 确定影响SMCP和VPD患者手术时间和获得手术的因素.
- 研究社会经济地位,地理距离和保险对手术治疗的影响.
- 在管理SMCP和VPD时,为公平护理的策略提供信息.
主要方法:
- 对168名SMCP和VPD患者进行了回顾性队列研究 (2004-2021年).
- 区域贫困指数 (ADI),儿童机会指数 (COI),护理距离和保险状况的分析.
- 统计分析包括回归模型来评估与手术状态和时间的关联.
主要成果:
- 在ADI,COI,保险或手术和非手术组之间的距离方面没有显著差异.
- 手术患者有更明显的SMCP,更早的诊断和更高的基线语言得分.
- 手术时年轻的年龄与较高的语音分数和较低的状态ADI分值相关.
结论:
- 来自较不贫困地区的患者早些时候接受了手术.
- 健康的社会决定因素,特别是邻居的劣势,与SMCP/VPD的手术时间有关.
- 将社会决定因素纳入护理评估可以防止治疗延迟.
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