与选择性肩膀手术取消相关的患者特征:关注社会经济因素
Suk Woong Kang1,2, Seungwoo Yoon3, YunSeo Park3
1Department of Orthopedics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Frontiers in public health
|November 28, 2025
概括
社会经济因素和农村居住显著增加了选择性肩部手术取消率. 通过以患者为中心的规划来解决这些差异对于公平的外科护理至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
- 健康 公平 卫生 公平
背景情况:
- 选择性肩部手术容易被取消.
- 了解取消驱动因素是提高医疗保健效率和患者获取机会的关键.
研究的目的:
- 为了确定与选择性肩膀手术取消相关的因素.
- 调查取消的社会经济影响,按农村和城市环境分层.
主要方法:
- 对接受选择性肩膀手术的1001名患者进行了回顾性横截面分析.
- 从电子医疗记录收集的数据 (2018年4月 - 2024年12月).
- 统计分析包括千二测试和多变量后勤回归,并按住宅区分层分析.
主要成果:
- 总体而言,取消率为11.5%.
- 与更高的取消风险相关的因素包括年龄 (≥65岁),严重疾病,农村居住,手工劳动和复杂的程序.
- 在农村地区,医疗援助覆盖率显著增加了取消风险 (调整后OR=5.76).
结论:
- 选择性肩膀手术取消与临床,社会经济和地理因素有关.
- 考虑到社会经济地位的以患者为中心的手术规划对于减少取消和确保公平护理至关重要.
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