Shams Rayad B, Lam Victoria C, Moorer William W, McDaniel Philip M, Sayed Christopher J
University of North Carolina Chapel Hill School of Medicine, Chapel Hill, NC, USA.
University of North Carolina Department of Dermatology, Chapel Hill, NC, USA.
Skin Appendage Disord. 2025 May 2:1-5. doi: 10.1159/000546044.
Nonattendance to dermatology appointments can disrupt continuity of care and may lead to worse outcomes among patients. Factors related to nonattendance among Hidradenitis suppurativa (HS) patients have not been adequately explored.
This case-control study at an HS subspecialty clinic in the southeastern USA explores patient characteristics and encounter variables predictive of nonattendance using demographic, employment, health insurance, and distance to clinic data using both univariable and mixed-model multivariable logistical regression.
Return visits, Black and unknown race, disabled and unemployed status, Medicaid insurance, current smoking or former smoking status, and living 1-2 h, or 2-3 h away from clinic were found to be significant predictors of nonattendance on the multivariable regression model.
These findings highlight the role social determinants of health play in dermatological care access and the need for increasing accessibility to continued care among certain HS patient populations.
不按时赴皮肤科预约会扰乱护理的连续性，并可能导致患者出现更差的治疗结果。化脓性汗腺炎（HS）患者不按时就诊的相关因素尚未得到充分探讨。
在美国东南部一家HS专科诊所进行的这项病例对照研究，利用人口统计学、就业、医疗保险以及到诊所的距离数据，通过单变量和混合模型多变量逻辑回归，探讨预测不按时就诊的患者特征和就诊变量。
在多变量回归模型中，复诊、黑人及种族未知、残疾和失业状态、医疗补助保险、当前吸烟或既往吸烟状态，以及居住在距离诊所1 - 2小时或2 - 3小时路程的地方，被发现是不按时就诊的显著预测因素。
这些发现凸显了健康的社会决定因素在皮肤科护理可及性方面所起的作用，以及增加某些HS患者群体持续护理可及性的必要性。
