从视网膜实践中解雇的患者的特征
Olufemi E Adams1, Roselind Ni1, Bita Momenaei1
1Wills Eye Hospital Retina Service, Mid Atlantic Retina, Philadelphia, PA, USA.
Eye (London, England)
|February 25, 2026
概括
视网膜实践中的患者解雇不成比例地影响了年轻,社会经济弱势的个人,特别是那些患有糖尿病视网膜病变的人. 解决合规性和社会经济障碍对于改善护理连续性至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜护理 视网膜护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 从医疗实践中解雇患者可能会破坏护理连续性.
- 了解与解雇相关的特征对于有针对性的干预至关重要.
研究的目的:
- 为了确定与患者解雇有关的人口,临床和行为因素,只在视网膜私人诊所.
- 为了比较被解雇的患者与被保留的患者的特征.
主要方法:
- 在7年内对174,250名患者进行了回顾性队列研究.
- 对432名正式解雇的患者进行分析,与保留的患者相比.
- 收集关于解雇原因,诊断和治疗史的数据.
主要成果:
- 0.25%的患者被解雇,主要是因为不遵守 (60.2%) 或侵略性行为 (18.2%).
- 被解雇的患者年轻,收入较低,社会贫困较高,糖尿病视网膜病变的患病率更高.
- 年龄较小和社会贫困程度较高独立预测暴力行为的解雇.
结论:
- 视网膜实践中的患者解雇很少发生,但不成比例地影响弱势群体.
- 加强患者合规性和解决社会经济障碍的干预措施可能会减少裁员.
- 改善患有糖尿病视网膜病变等复杂疾病的弱势患者的护理连续性至关重要.
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