缺失耳鼻喉科临床就诊化验和影像检查的人口和社会经济决定因素

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY Laryngoscope Investigative Otolaryngology Pub Date : 2024-09-09 DOI:10.1002/lio2.70013

Jad Zeitouni BBA, Jyntre Millsap BA, Wooyoung Jang BS, Cynthia Schwartz MD, MS, Hannah Chaudhury BS, Tristin Chaudhury MS, Yusuf Dundar MD

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引用次数: 0

摘要

目标/假设社会经济和人口统计学因素已被证明是专科诊所医疗保健的决定因素，而在美国临床领域却缺乏这方面的深入研究。我们的目的是确定社会经济和人口因素对耳鼻喉科门诊病人就医准备的影响，以强调对这方面差异和延迟临床护理的认识。研究设计回顾性病历审查。方法对 2020 年 6 月 1 日至 2023 年 6 月 1 日期间在耳鼻喉科门诊就诊的 482 名患者进行病历回顾。收集的人口统计学数据包括婚姻状况、性别、年龄、邮编和种族。结果我们的研究发现了几个有趣的重要点。婚姻状况是决定患者是否缺少化验和/或影像学检查的重要因素（p = .001）。年龄在很大程度上决定了患者是否进行了造影检查（p = 0.0001）。与初诊相比，患者更有可能在复诊时完成所有化验和造影检查（p < .0001）。最后，研究发现，患者的邮政编码是决定患者是不赴约还是赴约时已完成所有所需影像学检查和化验的重要因素（p = .004）。结论为临床就诊提供所需的化验和影像检查对于为所有患者提供及时和知情的医疗服务至关重要。本研究强调了缺失化验和影像检查的几个潜在决定因素。老年患者接受影像学检查的可能性较低，这可能与交通问题和支持系统较弱有关。已婚患者更有可能接受造影检查。已婚人士可能拥有更强大的支持系统，他们的配偶可以提供交通服务并提醒他们预约。最后，邮政编码的重要性凸显了交通距离和居住在服务不足地区对患者能否赴约或获得所需成像的影响。证据等级 4

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Demographic and socioeconomic determinants of missing labs and imaging for otolaryngologic clinical visits

Objectives/Hypothesis

Socioeconomics and demographics have been shown to be determinates of healthcare in specialty clinics, in which thorough research is lacking in the setting of the United States clinical sphere. We set out to determine the impact of socioeconomic and demographic factors on patient preparedness in an otolaryngologic clinic as to highlight the need for awareness in this aspect of disparate and delayed clinical care.

Study Design

Retrospective chart review.

Methods

A chart review was conducted of 482 patients who visited our otolaryngology clinic between June 1, 2020 and June 1, 2023. Demographic data including marital status, gender, age, zip code, and race was collected.

Results

Our study found several interesting points of significance. Marital status was a significant determinant of whether patients had missing labs and/or imaging (p = .001). Age was a significant determinant of patients having their imaging (p < .0001). Patients were more likely to have all their labs and imaging at a follow-up appointment compared to an initial appointment (p < .0001). Finally, a patient's zip code was found to be a significant determinant of whether a patient no-showed an appointment or arrived with all their needed imaging and labs (p = .004).

Conclusions

Having the needed labs and imaging for a clinical visit is vital to providing timely and well-informed care for all patients. This study highlighted several potential determinates of missing labs and imaging. Elderly patients were less likely to have imaging, which may be attributed to transportation issues and a weaker support system. Individuals who were married were more likely to have their imaging. Married individuals may have a stronger support system, where their spouses can provide transportation and reminders for appointments. Finally, the significance of zip code highlights the role transportation distance and living in an underserved area may have on patients being able to go to their appointments or obtain their needed imaging.