儿科甲状腺非工会:保险状况是否起作用?
James S Lin1, James MacDonald2, Julie Balch Samora3
1Sterling Ridge Orthopaedics and Sports Medicine, The Woodlands, TX.
Journal of pediatric orthopedics
|January 8, 2025
概括
保险状况没有影响小儿形非结合的治疗机会或结果. 这项研究发现,私人保险和不足保险的儿童之间的护理时间表或手术结果没有显著差异.
科学领域:
- 儿科整形外科 儿科整形外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童的甲状腺非结合会带来独特的挑战.
- 社会经济因素的影响,特别是保险状况,对儿科脊椎骨非联合治疗和结果的影响尚未得到充分研究.
研究的目的:
- 调查保险状况与照顾时间之间的关联.
- 评价保险状况和儿科形非结合性患者的术后结果之间的关系.
主要方法:
- 追溯队列研究分析了来自第三级儿科医院的患者病历 (2015年1月 - 2021年4月).
- 患者被分为私人保险或不足保险 (没有保险或医疗补助/国家资助的保险).
- 关键指标包括从受伤到评估的时间,评估到手术的时间,以及手术结果.
主要成果:
- 在保险人群之间的年龄,种族或骨折特征方面没有发现显著差异.
- 从受伤到评估 (P=0.57) 和评估到手术 (P=0.82) 的时间表相似.
- 术后结果,包括联合率 (P=0.67),残留疼痛,运动范围缺陷,力量缺陷和恢复活动,没有根据保险状况 (P=1.00) 显示出显著的差异.
结论:
- 在这个机构,保险状况与治疗延迟或手术后不良后果无关,对于儿科骨非结合症.
- 调查结果表明,无论在医疗保健机构中的保险状况如何,脚型非工会人均可获得护理.
- 结果可能无法将其推广到原发性骨折或不同的医疗保健系统.
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