Department of Orthopaedic Surgery, UT Health San Antonio, MC-7774, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Orthopedics & Sports Medicine, Houston Methodist Hospital, 13802 Centerfield Drive, Suite 300, Houston, TX 77070, USA.
Hand Clin. 2020 May;36(2):245-253. doi: 10.1016/j.hcl.2020.01.013.
Economically vulnerable US patients are at risk for undertreatment of hand-related conditions as well as poorer outcomes. The cost of indigent care can be substantial to both the patients and their communities. Caring for these patients in a system that depends on inconsistent coverage requires a network of safety-net hospitals. To ensure that patients have access to care, the protection of safety-net hospitals should be prioritized when discussing federal and state funding allocation. On an individual scale, surgeons can also make changes in their practices to help find sustainable ways to care for indigent patients.
美国经济脆弱的患者存在手部相关疾病治疗不足和预后较差的风险。为贫困患者提供医疗服务的成本对患者及其所在社区来说都是巨大的。在一个依赖不稳定保险覆盖的系统中为这些患者提供护理需要一个由安全网医院组成的网络。为了确保患者能够获得护理,在讨论联邦和州资金分配时,应优先考虑保护安全网医院。在个人层面上,外科医生也可以改变他们的实践,以帮助找到可持续的方式为贫困患者提供护理。