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研究物理治疗利用的差异:一个交叉性的视角
Lauren Rimmel1, Kathleen Taglieri-Noble2, Rebecca Pham1,3
1Department of Rehabilitation, Brigham and Women's Hospital, Boston, MA.
Archives of rehabilitation research and clinical translation
|September 22, 2025
概括
种族和语言差异影响物理治疗 (PT) 的安排和出席. 交叉分析揭示了扩大的不平等,特别是在收入方面,强调需要有针对性的干预措施来改善PT接入.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 物理治疗利用物理治疗的利用
背景情况:
- 了解影响门诊物理治疗 (PT) 使用的因素对于公平获得医疗保健至关重要.
- 之前的研究表明,基于患者人口统计数据的潜在差异,但需要采用交叉方法.
研究的目的:
- 调查种族,种族,语言,保险和社会经济地位对门诊PT利用的个人和交叉作用.
- 根据这些人口因素,研究PT预约安排和出席率的差异.
主要方法:
- 对61,125名患者进行了回顾性队列研究,这些患者被转诊为门诊PT.
- 分析了从2021年7月到2022年7月的电子医疗记录数据,包括访问完成,种族,种族,语言,保险和邮政编码.
- 多重物流回归模型,有和没有交互条款,以评估与PT安排和出席的人口统计学关联.
主要成果:
- 种族,语言和收入显著影响了PT的安排和出席率.
- 黑人或非裔美国患者的预约时间较长,但出席率较低;亚洲患者与白人患者相比显示相反的趋势.
- 非英语说话者和较低的社会经济地位与减少PT安排和出席有关,收入的好处因种族和语言群体而异.
结论:
- 基于种族,语言和收入,门诊物理治疗的利用存在显著差异.
- 交叉分析揭示了扩大不平等,特别是在种族/收入和语言/收入之间,强调需要细微的策略来解决PT进入障碍.
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