研究保险类型在操作方法和时间操作的选择性 inguinal Hernia 修复的操作
Keouna Pather1, Erin M Mobley1, Reed Popp1
1University of Florida College of Medicine-Jacksonville, Jacksonville, Florida.
The Journal of surgical research
|July 18, 2025
概括
拥有医疗补助或没有保险的患者面临更长的等待时间进行可选的 inguinal hernia 修复手术. 没有保险的个人也更容易开放程序,突出了潜在的获取不平等.
科学领域:
- 手术成果研究的研究结果.
- 医疗服务研究 医疗服务研究
- 关于健康公平性的研究.
背景情况:
- 保险类型可以影响手术护理的准入和及时性.
- 选择性 inguinal hernia 修复是一种常见的手术程序.
- 了解手术接入的差异对于改善患者护理至关重要.
研究的目的:
- 调查保险类型和可选 inguinal hernia 修复的操作方法之间的关联.
- 确定保险状况是否会影响从临床评估到 inguinal hernias 的手术干预的时间.
主要方法:
- 单一中心对1,206次选择性 inguinal 修复 (2012-2021) 的回顾性审查.
- 基于保险类型的操作方法和运行时间的分析.
- 用多变量逻辑回归和考克斯比例危险模型来确定重要的预测因素.
主要成果:
- 私人保险的患者比没有保险的患者 (43%) 更容易接受微创手术 (80%).
- 与私人保险 (34天) 或无保险 (37天) 患者相比,医疗补助 (51天) 和医疗保险 (41天) 患者的中位时间较长.
- 医疗补助和无保险的保险覆盖与运行时间的增加有关.
结论:
- 医疗补助和没有保险的患者在获得选择性 inguinal hernia 修复手术方面面临重大延迟.
- 没有保险的个人不成比例地可能会接受开放式维修而不是最少的侵入性维修.
- 这些发现强调了对外科手术接入不平等的进一步调查的需要.
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