南非公共部门膝关节置换患者的健康公平概况:描述性研究

IF 1 Q4 REHABILITATION
M. Coetzee, Amanda M. Clifford, J. Jordaan, Quinette A. Louw
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引用次数: 0

摘要

背景:膝关节置换手术可大大改善严重膝关节骨关节炎患者的生活质量。公平地接受膝关节置换手术对于确保每个人,无论其社会经济地位或地理位置如何,都能公平、及时地接受手术非常重要:我们的研究旨在:(1)描述南非一家学术医院中等待膝关节置换手术的患者的健康公平状况和生活质量;(2)描述这些健康公平因素与等待时间之间的关系:方法:采用 PROGRESS-Plus 健康公平框架,对等待膝关节置换术的患者进行横断面调查和回顾性记录审查。方法:采用 PROGRESS-Plus 健康公平框架,对等待膝关节置换术的患者进行横断面调查和回顾性记录审查,并使用卡方统计法计算健康公平因素与等待时间之间的关联:三百零二(N = 302)名患者(77% 为女性;平均年龄 67 岁)参与了此次研究,其中三分之一的患者等待手术的时间为 5 年或更长。老年患者(70 岁)和社会经济背景较差的患者不太可能获得公平的手术机会:结论:公共医疗机构目前的膝关节置换手术筛查方案无法提供公平的手术机会。临床意义:临床意义:在筛选择期膝关节置换术候诊患者时,应考虑社会经济地位、年龄等健康公平因素,以及生活角色和就业能力等其他患者特征。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health equity profile of knee replacement patients in the South African public sector: A descriptive study
Background: Knee replacement surgery can significantly improve the quality of life of patients with severe knee osteoarthritis. Equitable access to knee replacement surgery is important to ensure that everyone, regardless of their socioeconomic status or geographical location, have fair and timely access.Objectives: The aim of our study was to (1) describe the health equity profile and quality of life of patients awaiting knee replacement at a single academic hospital in South Africa and to (2) describe the association between these health equity factors and the waiting time.Method: A cross-sectional survey and retrospective record review of patients awaiting knee replacement was conducted using the PROGRESS-Plus health equity framework. Chi-square statistics were used to calculate association between health equity factors and the waiting time.Results: Three-hundred and two (N = 302) patients (77% female; mean age 67 years) participated, of whom one in three patients waited 5 years or longer for surgery. Elderly patients ( 70 years) and patients from lower socio-economic background were less likely to have equitable access to surgery.Conclusion: The current screening protocol for knee replacement surgery in the public health care sector does not provide equitable access to surgery. A more holistic screening approach alongside selective surgical prioritisation and rehabilitation could reduce the waiting list and facilitate equitable access to care.Clinical implications: Health equity factors such as socioeconomic status, age, and other patient characteristics such as life roles and employability should be taken into consideration when screening patients for elective knee replacement waiting lists. 
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
35
审稿时长
30 weeks
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