走在十字路口:对脑瘤患者获得护理的10年人口研究
Zerubabbel K Asfaw1, Tirone Young1, John Durbin1
1Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Neurosurgery
|April 9, 2025
概括
来自少数种族群体和低收入城市地区的大脑瘤 (BT) 患者更有可能使用急诊室进行初级护理. 这突显了医疗保健在获得脑瘤治疗方面的显著差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 医疗保健差异存在于患者护理的多个点.
- 了解初始接入点对于公平的护理提供至关重要.
研究的目的:
- 调查纽约市 (NYC) 和纽约州 (NYS) 脑瘤 (BT) 患者初始医疗保健获取差异.
- 为了比较初始BT护理的急诊室 (ED) 与选择性入院 (EA) 途径.
主要方法:
- 对2010-2020年全州规划和研究合作系统数据的分析,用于纽约州.
- 包括48,135名脑瘤患者,检查人口,社会经济和访问变量.
- 使用单变量分析和后勤混合效应回归,比较NYC和NYS队列的ED与EA条目.
主要成果:
- 在过去十年中,BT患者的ED入院率显著下降.
- 与纽约患者相比,纽约的患者更年轻,更富有,种族多样化,并有公共保险.
- 黑人,西班牙裔/拉丁裔患者,公共保险人员以及低收入城市地区的患者更有可能通过ED.
结论:
- 种族少数群体,公共保险患者和低收入城市地区的人不成比例地通过急诊室获得脑瘤护理.
- 需要进一步研究农村接入和医院附近的情况.
- 调查结果表明,有机会进行政策和医疗保健服务改革,以减轻不平等现象.
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