放射学利用在一个学术中心与联邦资格医疗中心的合作伙伴关系:一个跨部门研究
Ashley M Stuckwisch1, Maria Daniela Martin Rother2, Thomas M Grist1
1Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Journal of the American College of Radiology : JACR
|April 21, 2025
概括
联邦合格卫生中心 (FQHCs) 的合作伙伴关系增加了服务不足的人口的地理成像访问. 这项研究发现,FQHC患者年轻,多样化,社会贫困得分较高,表明获得改善.
科学领域:
- 放射学和医学成像学 医学成像学
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 联邦合格卫生中心 (FQHCs) 对于为医疗服务不足的人群提供服务至关重要.
- 2013年,UW健康与Access社区卫生中心 (ACHC) 合作,提供现场门诊成像服务.
- 了解FQHC中的放射学利用对于改善医疗保健准入至关重要.
研究的目的:
- 与其他UW健康门诊成像站点相比,在UW健康的FQHC合作伙伴 (ACHC) 进行放射学利用的特征.
- 确定患者的人口统计和与ACHC的成像使用相关的因素.
主要方法:
- 从2013年1月到2022年12月的门诊放射数据的分析.
- 使用统计测试,比较ACHC和非ACHC的UW健康诊所用户之间的患者特征.
- 后勤回归以确定影响ACHC放射学服务利用的因素.
主要成果:
- 4%的总成像接触和4%的患者使用了ACHC设施.
- ACHC患者年轻,更常见的是女性,黑人,西班牙裔,有医疗补助或没有保险,并且生活在社会贫困较高的都市地区.
- 少数民族患者,没有商业保险的患者,以及非英语说话的人更有可能使用 ACHC 放射学服务.
结论:
- FQHC是值得信赖的社区中心,为服务不足的群体提供更好的服务.
- 学术卫生系统和FQHC之间的伙伴关系可以显著改善弱势群体对基本成像服务的地理接入.
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