关心社区:比较医疗保健系统患者群体与区域人口
John P Powers1, Timothy S Carey2, Taylor W Hargrove3
1North Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill, Chapel Hill, USA. jppowers@unc.edu.
Journal of general internal medicine
|September 17, 2025
概括
综合卫生系统服务于最弱势和最弱势社区的患者. 将UNC健康患者与北卡罗来纳州患者进行比较
科学领域:
- 医疗保健服务研究 医疗服务研究
- 人口健康管理 人口健康管理
- 卫生公平研究 卫生公平研究
背景情况:
- 综合医疗保健提供系统在美国正在增长.
- 这种扩张引发了关于患者群体与服务的普通人口相比如何变化的问题.
- 专注于社区健康的社会决定因素 (SDOH) 对于理解差异至关重要.
研究的目的:
- 开发和演示一种比较患者人口统计和社区特征的方法.
- 分析大型公共卫生系统内的患者健康的社区社会决定因素 (SDOH).
- 将这些患者的特征与更广泛的区域人口进行比较.
主要方法:
- 描述性和图形分析比较UNC健康患者和北卡罗来纳州 (NC) 人口.
- 利用患者的电子健康记录数据 (5年期间).
- 雇佣美国社区调查 (ACS) 数据对邻居SDOH指数和人口统计数据进行比较.
主要成果:
- 患者更多地集中在社会劣势极端的社区.
- 然而,在SDOH得分中,种族和民族群体的分布在患者和NC人群之间是相似的.
- 这表明不同的人口群体在系统内如何获得护理的细微模式.
结论:
- 通过使用可访问的数据,证明了一种有效的方法来比较卫生系统患者与区域人口.
- 调查结果突出了人口和社区模式的相似之处,但也表明在高度不利的地区患者度更高.
- 这种方法可以为人口健康战略和综合卫生系统内的资源分配提供信息.
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