种族,社会经济地位和地理位置影响了明尼苏达州患者手术的利用率
Jameson Moore1, James Jean1, Jacob Hanson2
11Department of Neurosurgery, University of Minnesota Medical School, Minneapolis, Minnesota.
Journal of neurosurgery
|January 22, 2026
概括
黑人患者接受手术的可能性较低,而来自贫困地区的患者更有可能接受手术. 这项研究强调了明尼苏达州手术接入的差异.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手术是耐火性的关键治疗方法.
- 了解获得手术的差异对于公平的医疗保健至关重要.
- 诸如种族,社会经济地位和地理等因素可以影响手术治疗率.
研究的目的:
- 调查种族,社会经济地位 (使用区域贫困指数 - ADI) 和地理在手术利用的相互作用.
- 确定在明尼苏达州学术卫生系统内导致手术获取差异的具体因素.
- 为了告知有针对性的干预措施,以改善手术的准入.
主要方法:
- 使用明尼苏达大学M Health Fairview电子健康记录进行的回顾性病例对照研究.
- 数据包括人口统计,相关疾病,保险和地理位置,与区域贫困指数 (ADI) 相结合.
- 用多变量后勤回归和地理空间信息系统 (GIS) 分析来评估与手术的关联.
主要成果:
- 在6552名患者中,有132人接受了手术.
- 黑人患者接受手术的可能性明显低 (OR 0.46).
- 来自最贫困地区 (最高ADI四分位数) 的患者更有可能接受手术 (OR 2.32),这些患者主要是白人,位于小城市地区.
结论:
- 种族,ADI和地理位置在当地显著影响了手术的利用率,结果与国家趋势有所不同.
- 观察到手术获得的差异,需要定制的机构干预措施.
- 当地数据对于解决健康差异和改善公平获得手术至关重要.
关键词:
ADI ADI 在这里.地理信息系统 (GIS) 是一个面积剥夺指数是指面积剥夺指数.的手术 的手术地缘空间信息系统 (GIS) 是指地理空间信息系统.在健康方面存在差异.健康不平等 在健康不平等.更多相关视频
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