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获得儿科眼科护理预约的预测因素
Thomas H Diehl1, Davina A Malek2, Kara M Cavuoto2
1University of Miami Miller School of Medicine, Miami, Florida.
概括
获得儿科眼科护理预约的机会差异很大. 眼科医生比眼科医生提供更好的预约成功率和更短的等待时间,特别是对于医疗补助患者和少数民族县. 增加访问是至关重要的.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童眼科护理对于儿童的发展至关重要.
- 获得及时和适当的眼科护理对美国儿童来说可能是一个挑战.
- 了解护理障碍对于改善健康公平至关重要.
研究的目的:
- 为了确定预测成功获得美国儿科眼科护理预约的因素.
- 分析预约成功率和等待时间的预测因素.
- 调查提供者类型,保险和人口统计学对获取权力的影响.
主要方法:
- 进行了一项针对儿科眼科医生和光学家办公室的全国性调查.
- 收集了关于接受保险和预约可用性的数据.
- 后勤回归分析确定了预约成功和等待时间的风险因素.
主要成果:
- 眼科医生比眼科医生有更高的预约成功率 (65.6%) 和更短的等待时间 (25.4天) (39.7%的成功率,等待52.8天).
- 与私人保险患者相比,Medicaid患者的成功率较低 (37.2%),等待时间较长.
- 在以少数民族为主的县 (41.3%) 和白人占多数的县 (50.2%) 的任命不那么成功.
结论:
- 基于提供者类型,保险和患者人口统计数据,儿童眼科护理预约访问存在显著差异.
- 这些发现凸显了改善儿童眼科护理服务的迫切需要.
- 解决这些障碍对于确保所有儿童获得公平的眼睛健康结果至关重要.
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