社区层面的社会脆弱性与获得大量内分泌外科医生的联系
Marin Kheng1, Alexander Manzella1, Grigor Simitian1
1Department of Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
Surgery
|October 9, 2025
概括
社会脆弱性影响了对甲状腺切除术的大量外科医生的获取. 在教育和医疗保健资源较差的地区,患者看到大量外科医生的几率较低.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
- 外科手术的结果
背景情况:
- 社区层面的因素与获得医疗保健的差异有关.
- 社会脆弱性与获得医疗保健服务的不平等联系在一起.
研究的目的:
- 调查社区社会脆弱性和患者获得甲状腺切除术的大量外科医生的关系.
- 确定特定的社会脆弱领域,影响获得大量手术护理的机会.
主要方法:
- 利用Vizient临床数据库从2013年到2021年确定了375,663例甲状腺切除术病例.
- 根据每年的病例数量,将外科医生分为低,中或高容量.
- 使用回归分析来评估社区社会脆弱性指数得分与接受大批量外科医生手术的可能性之间的关联.
主要成果:
- 在医疗保健,教育,环境污染和公共安全方面较为脆弱的社区的患者,与大量外科医生进行手术的几率降低了.
- 社区资源和交通工具的脆弱性与增加对大量外科医生的准入有关.
- 男性患者,没有私人保险的患者和因恶性瘤而接受手术的患者在获得大量护理的可能性不同.
结论:
- 社区教育和医疗保健资源较低,显著减少了患者获得大量甲状腺切除术外科医生的机会.
- 针对教育和医疗保健的社区级资源可能会改善获得大量手术护理的机会.
- 个体患者人口统计仍然是影响获得专门手术护理的重要因素.
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