在澳大利亚偏远地区,与外科外科医生缺席相关的患者因素
Zachary K Woodward1, Nariyoshi Miyata1, Eric Owusu1
1Department of Surgery, Mount Isa Hospital, Mount Isa, AUS.
Cureus
|March 9, 2026
概括
在偏远的澳大利亚,外科门诊缺席不成比例地影响了土著患者. 远程医疗和电话咨询可以提高出席率,减轻地理障碍,改善医疗保健准入.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 土著健康土著健康
- 外科手术的结果
背景情况:
- 缺席门诊影响了护理连续性,诊所效率和健康公平.
- 这些问题在偏远的澳大利亚环境中加剧,特别是在土著和托雷斯海峡岛民中.
- 在这些特定情况下,关于外科门诊出院的数据有限.
研究的目的:
- 调查澳大利亚偏远地区外科门诊缺勤的流行率和预测因素.
- 确定与错过预约有关的人口,地理和预约相关因素.
- 评估预约方式 (面对面,电话,远程医疗) 对出席率的影响.
主要方法:
- 昆士兰州伊萨山外科门诊成年患者的回顾性队列研究 (2022年1月 - 2024年12月).
- 对人口,地理 (修改的莫纳什模型类别,距离) 和任命变量进行分析.
- 单变量和多变量后勤回归以确定不出席的预测因素.
主要成果:
- 总的来不及率为18.3% (6,267个预约对2,792名患者).
- 原住民身份是缺席的最强有力的预测因素 (调整后OR为3.72).
- 随着年龄的增长,电话和远程医疗咨询与缺席率的减少有关,而地理偏远和距离增加了几率.
结论:
- 澳大利亚偏远的外科诊所的缺勤率很大,与土著身份,偏远,年龄和咨询类型有关.
- 系统性障碍不成比例地影响了土著患者和生活在远离护理的患者.
- 远程医疗和电话咨询在改善出席率和克服地理挑战方面表现有前途.
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