Impact of Patient Socioeconomic Disparities on Time to Tympanostomy Tube Placement
| Autor: | David H. Chi, R. Jun Lin, Noel Jabbour, Amber D. Shaffer, Michael A. Belsky, Ronak Dixit, Jennifer L. McCoy |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry Patient demographics medicine.medical_treatment Psychological intervention Retrospective cohort study General Medicine Evidence-based medicine 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology Effusion 030225 pediatrics Health care medicine Tympanostomy tube 030223 otorhinolaryngology business Socioeconomic status |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 131:182-190 |
| ISSN: | 1943-572X 0003-4894 |
| DOI: | 10.1177/00034894211015741 |
| Popis: | Objectives: Extensive literature exists documenting disparities in access to healthcare for patients with lower socioeconomic status (SES). The objective of this study was to examine access disparities and differences in surgical wait times in children with the most common pediatric otolaryngologic surgery, tympanostomy tubes (TT). Methods: A retrospective cohort study was performed at a tertiary children’s hospital. Children ages Results: A total of 969 patients were included. Average age at surgery was 2.11 years. Almost 90% were white and 67.5% had private insurance. Patients with public insurance, ≥1 no-show appointment, and who lived in zip codes with the median income below the United States median had a longer period from otologic consult and preoperative clinic to TT, but no differences were seen in race. Those with public insurance had their surgery at an older age than those with private insurance ( P Conclusions: Lower SES is associated with chronic otitis media with effusion and a longer wait time from otologic consult and preoperative clinic to TT placement. By being transparent in socioeconomic disparities, we can begin to expose systemic problems and move forward with interventions. Level of Evidence: 4 |
| Databáze: | OpenAIRE |
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