延迟护理妇科瘤病患,英语能力有限的患者
Maya Gross1, Kemi M Doll, Isabel Rodriguez
1Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington.
Obstetrics and gynecology
|November 25, 2025
概括
英语水平有限的患者 (LEP) 由于不高效的转诊模式,在妇科瘤治疗中面临更长的延迟. 这些累积的延误会影响LEP患者及时开始治疗.
科学领域:
- 妇科瘤学 妇科瘤学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 越来越多的英语水平有限的患者 (LEP) 寻求专门的癌症护理.
- 对于LEP个人来说,医疗保健的准入和及时性可能存在差异.
研究的目的:
- 评估对寻求妇科瘤治疗的英语水平有限 (LEP) 患者的转诊模式和护理延迟.
- 确定导致LEP患者护理延迟的因素.
主要方法:
- 由妇科瘤学家看病的患者的回顾性队列研究 (2013-2024年).
- 分析转诊来源,转诊次数和第一次治疗的时间.
- 基于LEP身份 (根据对口译员的需求定义) 的结果比较.
- 统计分析包括千二测试,t测试,曼-惠特尼U测试和多变量线性回归.
主要成果:
- 5.8%的患者英语能力有限 (LEP).
- 在妇科瘤学之前,LEP患者有更多的急诊室转诊,多次转诊,以及转诊到其他专业.
- 在最初的转诊后,LEP患者更有可能经历治疗延迟 (超过4或6周) (63.2%vs52.4%>4周).
- 调整后的分析显示,LEP患者从转诊到治疗的时间延长了16.0%.
结论:
- 具有有限英语水平的患者经历了不公平的,累积的医疗延迟.
- 不有效的转诊模式大大导致LEP患者在初始妇科瘤咨询前的延迟.
- 解决转诊效率低下问题对于改善妇科瘤学中LEP患者及时护理至关重要.
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