完成患者报告的结果测量与补偿挂是公平的吗? 患者人口统计与PROM完成率和潜在的健康差异相关
Jake Laverdiere1, Swaroopa Vaidya2, Gregory Panza3
1Frank H. Netter School of Medicine at Quinnipiac University, North Haven, Connecticut.
关节置换后患者不太可能完成患者报告结果测量 (PROMs) 的患者包括非白人,非英语语言或具有更高的医疗复杂性. 解决这些因素对于公平的医疗保健结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 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:
- 患者报告的结果测量 (PROM) 对于评估手术后的功能结果至关重要.
- 强制性PROM报告CMS对全关节形术 (TJA) 退款提出了一些挑战.
- 关于影响PROM不遵守的患者因素的研究有限.
研究的目的:
- 确定与TJA后1年PROM完成不合规相关的患者特征.
- 确定PROM完成的预测因素,以告知有针对性的干预措施.
主要方法:
- 从2022年1月到2023年3月,对3913名初级TJA患者进行了回顾性分析.
- 在PROM完成者和不完成者之间比较人口统计,健康和术后数据.
- 使用t测试,曼-惠特尼U测试,奇平方和费舍尔精确测试进行统计分析.
主要成果:
- 70.6%的患者完成了1年的PROM; 29.4%没有.
- 术前和3个月的PROM完成增加了1年合规的可能性.
- 非白人,非英语,医疗保险,精神病史,较高的CCI,SNF释放和修复手术预测的不合规.
结论:
- 特定的患者群体,包括少数群体,非英语使用者和具有较高并发症的患者,不太可能完成PROMs.
- 强制性PROM报告可能会加剧健康不平等.
- 需要积极的护理规划和风险分层来改善遵守并确保公平的评估.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
09:55Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
相关概念视频
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Standards of Care I
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Standards of Care II
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
