Healthcare disparities: patients’ perspectives on barriers to joint replacement

Autor: Susan M. Goodman, Insa Mannstadt, J. Alex B. Gibbons, Mangala Rajan, Anne Bass, Linda Russell, Bella Mehta, Mark Figgie, Michael L. Parks, Shilpa Venkatachalam, W. Benjamin Nowell, Collin Brantner, Geyanne Lui, Andrea Card, Peggy Leung, Henry Tischler, Sarah R. Young, Iris Navarro-Millán
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Musculoskeletal Disorders, Vol 24, Iss 1, Pp 1-11 (2023)
Druh dokumentu: article
ISSN: 1471-2474
DOI: 10.1186/s12891-023-07096-0
Popis: Abstract Objective Racial and ethnic disparities in arthroplasty utilization are evident, but the reasons are not known. We aimed to identify concerns that may contribute to barriers to arthroplasty from the patient’s perspective. Methods We identified patients’ concerns about arthroplasty by performing a mixed methods study. Themes identified during semi-structured interviews with Black and Hispanic patients with advanced symptomatic hip or knee arthritis were used to develop a questionnaire to quantify and prioritize their concerns. Multiple linear and logistic regression analyses were conducted to determine the association between race/ethnicity and the importance of each theme. Models were adjusted for sex, insurance, education, HOOS, JR/KOOS, JR, and discussion of joint replacement with a doctor. Results Interviews with eight participants reached saturation and provided five themes used to develop a survey answered by 738 (24%) participants; 75.5% White, 10.3% Black, 8.7% Hispanic, 3.9% Asian/Other. Responses were significantly different between groups (p
Databáze: Directory of Open Access Journals
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