地理上进入烧伤中心医院的医院
Matthew B Klein1, C Bradley Kramer, Jason Nelson
1UW Burn Center, University of Washington, Seattle, WA 98104, USA. mbklein@u.washington.edu
JAMA
|October 29, 2009
概括
近80%的美国人可以通过地面或空中运输在两小时内到达经过验证的烧伤中心. 然而,随着地区和州的不同,获得的机会有很大差异,这突出了紧急医疗服务的差异.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 地理信息系统 (GIS) 是一个地理信息系统.
背景情况:
- 烧伤护理是资源密集型的,需要专门的人员和设备.
- 烧伤中心的最佳地理分布仍然是患者结果的关键,但未知的因素.
- 了解当前的访问对于评估和改进烧伤护理基础设施至关重要.
研究的目的:
- 估计美国人口在特定时间范围内获得烧伤护理设施的比例.
- 基于地面和旋转空中运输 (直升机) 分析可访问性.
- 评估与人口密度和区域差异相对的地理分布.
主要方法:
- 使用2000年美国人口普查数据对美国烧伤中心的横截面分析.
- 集成的道路网络,限速和空中医疗服务数据库.
- 利用2008年美国烧伤协会目录来验证中心数据.
主要成果:
- 2008年,128个烧伤中心被确定,其中51个由美国烧伤协会核实.
- 据估计,46.3%的美国人口可以通过地面运输在2小时内到达经过验证的烧伤中心.
- 通过航空运输,79.0%的人口可以在2小时内到达经过验证的中心,但地区差异很大.
结论:
- 绝大多数美国人可以在2小时的运输时间内访问经过验证的烧伤中心.
- 在地理上对烧伤护理设施的访问方面,州和地区仍然存在显著的差异.
- 调查结果强调,需要进行战略规划,以解决在烧伤治疗中存在的机会不平等问题.
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