减少切术实践中的种族,种族和社会经济差异
Annemarie Kelly1, Scott Wexelblatt1, Laura Ward1
1Division of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
概括
标准化喉的查显著减少了婴儿切率的种族和保险差异. 这种方法改善了公平获得护理的语言结节治疗.
科学领域:
- 儿科外科手术 儿科外科手术
- 新生儿护理 新生儿护理
- 卫生公平性健康公平性
背景情况:
- 在没有同时改善母乳养的情况下,结症的切率升了10倍以上.
- 缺乏治疗共识需要实践评估和标准化.
研究的目的:
- 为了评估区域性切术的做法,为ankyloglossia.
- 标准化查,以减少治疗机会的差异.
主要方法:
- 在分娩住院期间进行切术的回顾性队列研究 (2019年6月至2021年6月).
- 分析按种族,种族和保险状况分组的计费数据.
- 实施舌带和母乳养婴儿工具以进行标准化查.
- 干预后数据分析 (2023年6月至2024年12月) 使用奇平方测试.
主要成果:
- 预干预:私人保险的婴儿比公开保险的婴儿接受切术的可能性是2.75倍.
- 干预前:与非西班牙裔黑人 (2.3倍) 和西班牙裔婴儿 (3.9倍) 相比,非西班牙裔白人婴儿的切率明显更高.
- 后标准化:根据保险状况以及非西班牙裔白人和非西班牙裔黑人婴儿之间的差异被消除. 对于西班牙裔婴儿而言,差异较小.
结论:
- 标准化喉的评估是有效的缓解切率的差异.
- 通过一致的查协议,可以实现对舌带的公平护理.
- 可能需要进一步努力,以充分解决剩余的种族差异.
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