分析英格兰的骨科私人医疗保健模式:潜在的新兴两层系统
Lucy McCann1, Ian Holdroyd2, Rowan Emberson3
1Wolfson Institute of Population Health, Queen Mary University of London, London, UK.
Public health in practice (Oxford, England)
|January 24, 2025
概括
英格兰的私人医疗保健在整形外科手术方面显示出明显的南北差异. 南方在私人程序中领先,而北方的NHS等待时间较短,突出了潜在的医疗保健不平等.
科学领域:
- 医疗保健政策和分析
- 整形外科的趋势 整形外科的趋势
- 公共卫生和获得护理的机会.
背景情况:
- 英国私人医疗保健部门正在扩大,这是由国家卫生服务 (NHS) 等候名单压力所驱动的.
- 为了管理患者需求,NHS越来越多地委托私人提供者提供护理,包括骨科手术.
- 在英格兰获得和提供医疗保健的地理差异需要调查.
研究的目的:
- 检查2019年至2023年英格兰私人资助和NHS资助的整形外科手术的趋势.
- 将这些趋势与NHS等待时间进行比较,重点关注英格兰北部和南部之间的地理差异.
- 确定在获得私人骨科护理方面的潜在不平等现象.
主要方法:
- 一项纵向研究分析了2019年至2023年的季度国家数据.
- 使用私人医疗保健信息网络数据,计算每1万人的骨科手术量.
- 按地理位置 (英格兰北部和南部) 和时间段对数据进行分层,以评估区域差异.
主要成果:
- 英格兰南部的私人资助的骨科手术数量 (23/10,000) 几乎是北方 (12/10,000) 的两倍.
- 北英格兰的NHS等待时间总是比南英格兰更短,区域差异很大.
- 与其他地区相比,伦敦的NHS资助的私人程序数量较低.
结论:
- 在英格兰,在获得私人骨科医疗保健方面存在显著的地理不平等,这可能表明一个双层系统.
- 过度依赖私营部门减少NHS等候名单可能会加剧区域和社会经济差异.
- 政策制定者必须解决资金的不平等分配和NHS委托的程序,以减轻医疗保健的不平等.
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