通过非识别的医疗补助数据集评估对患有唐氏综合征的儿童使用治疗服务的差异
Ashlyn J McKeehan1, Cristina R Smith2, Christina Y Pelatti3
1Division of Occupational Therapy, College of Health Professions, Medical University of South Carolina, Charleston, South Carolina, USA.
概括
患有唐氏综合征 (DS) 的儿童在治疗利用方面面临种族和年龄相关的差异. 白人儿童和3至17岁的儿童获得了更多的服务,突出了少数民族和患有DS的非常年幼儿童的关怀中的关键差距.
科学领域:
- 儿科健康服务研究 儿童健康服务研究
- 健康差异 在健康上的差异
- 唐氏综合症护理 唐氏综合症护理
背景情况:
- 患有唐氏综合征 (DS) 的儿童有独特的医疗保健需求.
- 了解医疗保健利用模式对于解决差距至关重要.
研究的目的:
- 调查唐氏综合征儿童在医疗保健利用方面的差异.
- 分析基于性别,种族和年龄的治疗服务利用率和医疗补助支付.
主要方法:
- 对门诊医疗补助申请 (2016-2018) 的回顾性分析.
- 检查了DS儿童的治疗服务利用率和年度医疗补助支付.
- 使用多级逻辑回归和马分布式日志链接模型.
主要成果:
- 治疗利用率没有显著的基于性别的差异.
- 与白人儿童相比,黑人和其他种族群体的治疗利用率较低.
- 白人儿童每年医疗补助支付的比例更高.
- 3至17岁儿童的治疗利用率比0至2岁儿童增加.
结论:
- 在DS儿童的治疗利用中存在显著的种族和年龄相关差异.
- 对白人儿童的更高的医疗补助支付意味着更大的门诊服务.
- 在老年青少年 (18-21岁) 和婴儿 (0-2岁) 中使用率下降,需要进一步调查和早期干预重点.
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