在康复护理中预约完成的决定因素:保险的作用,计划结构和访问障碍
Madelief L Tilder1, Raeda K Anderson1, Pat M Barret2
1Virginia C. Crawford Research Institute, Shepherd Center, Atlanta, GA 30309, USA; Department of Sociology, Georgia State University, Atlanta, GA 30303, USA.
Archives of physical medicine and rehabilitation
|January 20, 2026
概括
医疗保险类型和访问部门显著预测康复预约完成. 解决财务和接入障碍对于改善患者参与和公平护理至关重要.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 完成预约对于有效的康复至关重要.
- 了解影响完成的因素是改善患者治疗结果的关键.
- 牧羊人中心的目标是确定医疗保健预约完成的预测因素.
研究的目的:
- 为了检查预测医疗保健预约完成的因素在牧羊人中心.
- 确定保险,计划结构和入场障碍在预约完成中的作用.
主要方法:
- 进行了双变量分析和二进制后勤回归.
- 分析了来自19,453名患者和1,105,752次预约 (2020年3月至2025年2月) 的数据.
- 完成医疗保健预约是主要的结果指标.
主要成果:
- 保险类型和访问部门显著预测了预约完成.
- 与私人保险相比,公共,自付和其他保险类型的完成率较低.
- 医疗访问增加了完成几率,而职业治疗,物理治疗,语音语言病理学和心理学部门减少了完成几率.
结论:
- 医疗保险和预约部门是完成更强的预测因素,而不是社会人口因素.
- 财务安全和医疗保健的准入是患者参与康复的基础.
- 需要多方面的战略来应对金融,行政和可访问性挑战,以改善预约完成和公平获取.
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