Regional differences in patient-reported outcomes as a proxy of healthcare practices for Americans living with vestibular symptoms.

IF 2.9 3区医学 Q2 NEUROSCIENCES

Journal of Vestibular Research-Equilibrium & Orientation Pub Date : 2022-01-01 DOI:10.3233/VES-220022

Wagner Henrique Souza, Colin R Grove, Patricia L Gerend, Cynthia Ryan, Michael C Schubert

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引用次数: 1

Abstract

Background: Geographical location is known to affect health outcomes; however, evidence regarding whether location affects healthcare for persons suspected to have vestibular dysfunction is lacking.

Objective: To investigate whether location affects healthcare seeking and outcomes for adults with symptoms of vestibular pathology.

Methods: We assessed for regional disparities associated with demographics, diagnosis, chronological factors, and financial expenditures from Americans who participated in the Vestibular Disorders Association registry (N = 905, 57.4±12.5 years, 82.7% female, 94.8% White, and 8.1% Hispanic or Latino). Respondents were grouped per geographical regions defined by the United States Census Bureau.

Results: There were no significant between-region differences for age (p = 0.10), sex (p = 0.78), or ethnicity (p = 0.24). There were more Asian respondents in the West versus the Midwest (p = 0.05) and more Black respondents in the South versus the West (p = 0.05). The time to first seek care was shorter in the Northeast (17.3 [SD = 49.5] weeks) versus the South (42.4 [SD = 83.7] weeks), p = 0.015. The time from the first healthcare visit to receiving a final diagnosis was shorter in the Northeast (46.5 [SD = 75.4] weeks) versus the South (68.9 [SD = 89.7] weeks), p = 0.015. Compared to the Midwest, fewer respondents in the Northeast reported "no" out-of-pocket financial impact, p = 0.039.

Conclusions: Geographical location affects healthcare seeking and outcomes for persons suspected to have vestibular dysfunction.

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患者报告结果的地区差异作为美国人前庭症状医疗保健实践的代理。

背景:已知地理位置会影响健康结果;然而，关于位置是否影响医疗保健的证据怀疑有前庭功能障碍的人缺乏。目的:探讨位置是否影响有前庭病理症状的成人求医和转诊。方法:我们评估了参与前庭疾病协会登记的美国人(N = 905, 57.4±12.5岁，82.7%为女性，94.8%为白人，8.1%为西班牙裔或拉丁裔)的人口统计学、诊断、时间因素和财务支出相关的地区差异。受访者按美国人口普查局定义的地理区域分组。结果:年龄(p = 0.10)、性别(p = 0.78)和种族(p = 0.24)在地区间无显著差异。西部的亚裔受访者多于中西部(p = 0.05)，南部的黑人受访者多于西部(p = 0.05)。东北地区首次就诊时间(17.3 [SD = 49.5]周)短于南部地区(42.4 [SD = 83.7]周)，p = 0.015。东北地区(46.5 [SD = 75.4]周)与南部(68.9 [SD = 89.7]周)相比，从首次就诊到接受最终诊断的时间更短，p = 0.015。与中西部地区相比，东北部较少的受访者表示“没有”自付财务影响，p = 0.039。结论:地理位置影响怀疑有前庭功能障碍的人的医疗保健寻求和结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vestibular Research-Equilibrium & Orientation 医学-耳鼻喉科学

CiteScore

5.00

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Vestibular Research is a peer-reviewed journal that publishes experimental and observational studies, review papers, and theoretical papers based on current knowledge of the vestibular system. Subjects of the studies can include experimental animals, normal humans, and humans with vestibular or other related disorders. Study topics can include the following: Anatomy of the vestibular system, including vestibulo-ocular, vestibulo-spinal, and vestibulo-autonomic pathways Balance disorders Neurochemistry and neuropharmacology of balance, both at the systems and single neuron level Neurophysiology of balance, including the vestibular, ocular motor, autonomic, and postural control systems Psychophysics of spatial orientation Space and motion sickness Vestibular rehabilitation Vestibular-related human performance in various environments