在佛得角成年人中,初级保健参与和住院后结果
Lucas X Marinacci1,2, Leny Dias-Cunha2,3, Sara Booth4
1Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Journal of primary care & community health
|October 22, 2025
概括
佛得角成年人表现出强烈的初级保健使用,可能与社区卫生中心有关. 然而,社会经济因素可能会限制专家的访问,并增加急诊室的访问.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 散居者健康 散居者健康
- 健康差异 在健康上的差异
背景情况:
- 佛得角成年人是美国卫生服务研究中代表性不足的群体.
- 了解他们的医疗保健利用对于解决健康差异至关重要.
研究的目的:
- 为了比较佛得角成年人与其他种族和民族群体的退院后的结果和医疗保健利用情况.
- 确定介导医疗保健获取和利用差异的因素.
主要方法:
- 对583名住院的佛得角成年人的回顾性分析 (2017-2023年).
- 与其他种族/族群的比较.
- 序列嵌套回归模型具有反向概率加权,包含环境正义指数 (EJI).
主要成果:
- 佛得角成年人表现出独特的高初级保健参与度,在EJI调整后放大.
- 观察到更低的专家访问率和更高的急诊室使用率,但在临床和EJI调整后减弱/逆转.
- 研究结果表明,由于社区卫生中心的参与,护理连续性很强.
结论:
- 社区卫生中心的强有力的参与可能会促进佛得角成年人的强有力的护理连续性.
- 社会经济和结构因素可能会阻碍专家的访问,并有助于紧急护理的利用.
- 需要进一步的研究来解决已识别的医疗保健准入障碍.
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