鼻腔质量中的地理差异:一个单一机构的经验
Zachary Elwell1, Nirushan H Narendran1, Charlie J Gallego2
1Department of Otolaryngology-Head & Neck Surgery, University of Arizona College of Medicine-Tucson, Tucson, Arizona, USA.
概括
地理位置显著影响鼻腔大规模护理,农村患者经历了更长的诊断延迟和治疗和结果的差异. 解决这些差异对于公平获得医疗保健至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 鼻质量在诊断和治疗方面存在独特的挑战.
- 地理位置是影响医疗保健获取和结果的一个未被研究的因素.
研究的目的:
- 调查亚利桑那州南部的鼻腔群体的呈现,治疗和结果的地理差异.
- 确定导致这些差异的因素,包括诊断延迟和并发症.
主要方法:
- 在一个单一的高等学术医疗中心治疗的86名鼻质患者的回顾性队列研究.
- 患者被分为城市,郊区和农村地区.
- 对人口统计,临床数据,诊断间隔,治疗和生存率的分析,统计学意义为P < .05.
主要成果:
- 农村患者的糖尿病和吸烟率更高.
- 农村地区的诊断延迟最长 (342.7天),城市地区的诊断时间较短205天 (P=.021).
- 城市患者接受了更多的放射治疗 (82.9%),种族和地理位置显著影响了死亡风险 (P < .001).
结论:
- 在鼻腔大规模护理中存在显著的地理差异,影响并发症,诊断时间表,治疗和死亡风险.
- 这些发现凸显了进一步调查推动这些差异的因素的必要性.
- 改善对鼻患者综合护理的公平获取需要解决已确定的地理和种族/种族不平等问题.
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