尾炎的语言障碍:代价是什么?
Brittany E Levy1, Jennifer T Castle1, Lekha P Devara1
1Department of General Surgery, University of Kentucky, Lexington, KY, USA.
The American surgeon
|February 26, 2025
概括
在儿科尾炎病例中,英语水平有限导致成像增加,住院时间长,费用更高. 解决沟通障碍对于公平的护理和改善结果至关重要.
科学领域:
- 儿科手术 儿科手术
- 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:
- 儿科医生通常依赖患者病史来诊断尾炎,最大限度地减少辐射暴露.
- 对于英语水平有限 (LEP) 的患者来说,语言障碍可能会对结果产生负面影响,增加成像使用,并提高儿科尾炎的成本.
- 有效的沟通对于准确的诊断和小儿外科手术的有效护理至关重要.
研究的目的:
- 为了比较儿童尾炎患者的医疗保健利用率和成本,英语水平有限或不限.
- 根据主要语言识别诊断工作,住院时间和医院费用的差异.
- 为减少儿科外科护理中的医疗保健不平等的策略提供信息.
主要方法:
- 在单一机构对儿科-国家外科质量改善项目数据库 (2011-2021) 的分析.
- 根据人口统计和保险,根据16岁以下接受尾切除术的患者的倾向匹配.
- 结果的比较,包括住院费用,住院时间和英语熟练 (EP) 和有限英语熟练 (LEP) 队列之间的成像使用.
主要成果:
- 与英语熟练 (EP) 患者相比,英语熟练程度有限的患者 (LEP) 的诊断成像率更高.
- 在LEP队列中,住院时间中位数较长,医院费用中位数较高,包括成像费用.
- 与LEP队列相比,英语熟练 (EP) 患者的阴性尾切除率较高.
结论:
- 儿科尾炎护理中的语言障碍有助于增加医疗保健利用率和成本.
- 与语言多样性相关的护理差异需要针对性干预,以获得公平的健康结果.
- 改进沟通策略对于确保公平有效地提供儿科外科服务至关重要.
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