镰状细胞病中的社会和行为因素：就业预示着医疗保健利用率的降低。
Social and Behavioral Factors in Sickle Cell Disease: Employment Predicts Decreased Health Care Utilization.
作者信息
Williams Hants, Silva R N Susan, Cline David, Freiermuth Caroline, Tanabe Paula
出版信息
J Health Care Poor Underserved. 2018;29(2):814-829. doi: 10.1353/hpu.2018.0060.
Abstract
to determine frequency of health care encounters among people with sickle cell disease (SCD) seeking treatment for a vaso-occlusive crisis (VOC). Health care encounters are categorized by visit type (day hospital, ED visit, hospitalization), prevalence of self-reported behavioral and social factors, and any associations between behavioral and social factors and health care encounters. Ninety-five people with SCD were enrolled in a prospective descriptive study in North Carolina. Patients were interviewed concerning behavioral-social factors, and a report of health care encounters was produced, generated by ICD codes associated with VOCs between October 2011 and March 2014. Among 95 patients, there were a total of 839 day hospital and 1,990 ED visits, and 1,101 hospital admissions. Prevalent behavioral and social factors were depression (29%), anxiety (34%), illicit drug use (6%); unstable home situation (17%); and unemployment (81%). Employment and stable home were significantly associated with decreased frequency of health care encounters.
摘要
确定镰状细胞病（SCD）患者因血管闭塞性危机（VOC）寻求治疗时的医疗保健就诊频率。医疗保健就诊按就诊类型（日间医院、急诊就诊、住院）、自我报告的行为和社会因素患病率以及行为和社会因素与医疗保健就诊之间的任何关联进行分类。95名SCD患者参加了北卡罗来纳州的一项前瞻性描述性研究。就行为社会因素对患者进行了访谈，并生成了一份医疗保健就诊报告，该报告由2011年10月至2014年3月期间与VOC相关的国际疾病分类代码生成。在95名患者中，共有839次日间医院就诊和1990次急诊就诊，以及1101次住院治疗。常见的行为和社会因素包括抑郁（29%）、焦虑（34%）、非法药物使用（6%）；家庭状况不稳定（17%）；以及失业（81%）。就业和稳定的家庭与医疗保健就诊频率降低显著相关。
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