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皮肤病学预约作为系统性医疗保健问题的指标
Lillian V Rivera1, Reina M Gonzalez1, Lorna M Torres1
1Dermatology, Ponce Health Sciences University, Ponce, PRI.
Cureus
|February 16, 2026
概括
波多黎各的长期皮肤病等待时间显著影响患者的生活质量,超过一半的患者等待三个月,许多人诉诸自我护理. 解决皮肤科医生短缺问题对于改善护理准入至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 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:
- 波多黎各面临着影响医疗保健的经济挑战,包括皮肤科医生短缺.
- 人口老龄化加剧了皮肤病预约的长时间等待,影响了患者的生活质量 (QOL).
- 这些延误不成比例地影响波多黎各服务不足的人口.
研究的目的:
- 为了评估皮肤病预约等待时间在波多黎各.
- 评估这些等待时间对患者QOL的影响.
- 识别影响等待时间和质量管理结果的因素.
主要方法:
- 在2023年夏天进行的一项横截面研究,涉及12家皮肤病诊所的464名参与者.
- 通过人口统计学,等待时间和场外 (OTC) 补救措施的使用问题问卷收集的数据.
- 皮肤病生活质量指数 (DLQI) 用于测量QOL影响;统计分析包括t测试和千平方测试.
主要成果:
- 55%的参与者等待超过三个月的预约,平均2.5个月.
- 女性的等待时间较长,QOL影响更大 (DLQI得分更高) 于男性.
- 超过38%的人报告说,等待期间症状恶化,65.5%的人使用OTC补救措施.
结论:
- 波多黎各长期的皮肤病等待时间对患者的QOL产生不利影响.
- 调查结果强调,迫切需要解决皮肤病学劳动力短缺问题,特别是在农村和服务不足的地区.
- 改善皮肤病护理的准入对于改善患者的治疗结果和减少健康差异至关重要.
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