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引用次数: 0
摘要
简介该研究旨在比较与患有动脉粥样硬化性心血管疾病（ASCVD）的成年人延迟接受医疗护理相关的成本和非成本因素：利用美国疾病控制和预防中心（CDC）行为危险因素监测系统（BRFSS）2014-2018年的调查数据（N = 508,203），建立了多变量逻辑回归模型，以计算ASCVD成人患者延误就医原因的调整后几率：我们的研究对象包括 61,227 名患有 ASCVD 的成人（9.1%），与未患有 ASCVD 的成人相比，他们出现任何医疗延误（aOR 1.50，95% CI 1.43-1.57）、因费用延误（aOR 1.55，95% CI 1.45-1.65）、门诊等待时间长（aOR 1.21，95% CI 1.04-1.39）和缺乏交通工具（aOR 1.64，95% CI 1.47-1.84）的几率更高：结论：亟需采取新的公共卫生和卫生政策方法，以减少患有 ASCVD 的成年人在获得医疗服务时遇到的与成本和非成本相关的障碍。
Cost and non-cost factors associated with delays in receiving medical care in adults with atherosclerotic cardiovascular disease.
Background: The study aims to compare cost and non-cost factors associated with delays in receiving medical care in adults with atherosclerotic cardiovascular disease (ASCVD).
Methods: Using 2014-2018 data from the Centers for Disease Control and Prevention (CDC) Behaviour Risk Factor Surveillance System (BRFSS) survey (N = 508,203), multivariate logistic regression models were developed to compute the adjusted odds ratio of reasons for delays in medical care in adults with ASCVD.
Results: Our study population of 61,227 adults with ASCVD (9.1%) had higher odds of any medical care delay (aOR 1.50, 95% CI 1.43-1.57), delay due to cost (aOR 1.55, 95% CI 1.45-1.65), long clinic wait times (aOR 1.21, 95% CI 1.04-1.39) and lack of transportation (aOR 1.64, 95% CI 1.47-1.84) than those without ASCVD.
Conclusion: Novel public health and health policy approaches are urgently needed to reduce the cost- and non-cost-related barriers that adults with ASCVD encounter when accessing healthcare services.
期刊介绍：
The Journal of the Royal College of Physicians of Edinburgh (JRCPE) is the College’s quarterly, peer-reviewed journal, with an international circulation of 8,000. It has three main emphases – clinical medicine, education and medical history. The online JRCPE provides full access to the contents of the print journal and has a number of additional features including advance online publication of recently accepted papers, an online archive, online-only papers, online symposia abstracts, and a series of topic-specific supplements, primarily based on the College’s consensus conferences.
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