美国妇女在哪里接受初级保健:一个横截面分析
Nitya Thakore1,2, Lydia E Pace2,3, Ishani Ganguli4,5
1Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Journal of general internal medicine
|November 20, 2025
概括
许多妇女缺乏一致的初级保健,其中10%的妇女看到通用医学和妇产科 (妇产科) 提供者. 这种双重护理可能会导致多余的服务,并加剧健康不平等.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
- 妇女健康 妇女健康
背景情况:
- 在妇女获得初级保健方面存在国家挑战.
- 一些妇女利用通用医学和妇产科医生 (ob/gyn) 进行初级保健.
- 双重初级保健来源的范围和影响尚不清楚.
研究的目的:
- 评估美国妇女的初级保健使用模式.
- 确定接受一般医学和妇产科医生护理的妇女的特征.
- 检查双重初级保健来源的妇女的服务接收情况.
主要方法:
- 对医疗支出小组调查 (2012,2017,2022) 的回顾性分析.
- 包括19-85岁的非怀孕妇女.
- 评估访问模式,通常的护理来源和收到的服务.
主要成果:
- 在2022年,20.3%的妇女没有医疗保健访问,而29.2%的妇女缺乏通常的护理来源.
- 10.4%的妇女从通用医学和妇产科医生专家那里获得初级保健.
- 两种专业的女性受过更高的教育,有更高的保险,并有更高的潜在低价值检测和查率.
结论:
- 很大一部分非孕妇缺乏一致的初级保健.
- 10%的女性使用双重初级保健,这表明潜在的护理缺口和冗余.
- 这些模式可能会加剧医疗保健获取现有的局限性,并导致健康差距.
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