Cost and non-cost factors associated with delays in receiving medical care in adults with atherosclerotic cardiovascular disease.

IF 0.9 Q2 MEDICINE, GENERAL & INTERNAL Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI:10.1177/14782715241256693

Reed Mszar, Kobina Hagan, Shubham Lahan, Tarang Parekh

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Abstract

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.

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与患有动脉粥样硬化性心血管疾病的成人延误就医相关的成本和非成本因素。

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。

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 the Royal College of Physicians of Edinburgh MEDICINE, GENERAL & INTERNAL-

CiteScore

1.80

自引率

0.00%

发文量

审稿时长

20 weeks

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.