在接受头部CT的ED患者中,时间比率差异很大
Farid Hajibonabi1, Marta Taye2, Angela Ubanwa3
1Department of Radiology and Imaging Sciences, Emory University, 1364 Clifton Road, Atlanta, GA, 30322, USA. farid.hajibonabi@emory.edu.
Emergency radiology
|June 22, 2023
概括
黑人患者,女性和那些有医疗保险/医疗补助保险的人在急诊室 (ED) 经历了更长的头部计算机断层扫描 (CT) 等待时间. 这些差异突显出需要公平地获得及时的成像服务.
科学领域:
- 紧急医疗 紧急医疗
- 放射学 放射学是一门学科.
- 健康 公平 卫生 公平
背景情况:
- 医疗保健获取和结果的差异是急诊室 (ED) 中的一个重大问题.
- 诊断成像的及时性,如头部计算机断层扫描 (CT),对于有效的紧急护理至关重要.
- 了解ED头部CT工作流程中的潜在人口和保险相关差异对于改善患者护理至关重要.
研究的目的:
- 为了调查急诊室 (ED) 头部计算机断层扫描 (CT) 完成时间的差异.
- 确定头部CT的指示是否影响这些差异.
- 评估不同患者人口统计和保险类型的等待时间.
主要方法:
- 在四家医院进行了超过45,000次非对比头部CT的回顾性队列研究 (2016年1月 - 2020年9月).
- 关键时间间隔的分析:ED停留时间 (LOS),ED评估,图像采集和图像解释.
- 使用时间比率 (TR) 来比较患者组之间的时间间隔.
主要成果:
- 女性患者经历了更长的ED LOS,评估和获取时间 (TR=1.012,1.051,1.018).
- 黑人患者面临更长的ED LOS,获得和评估时间 (TR=1.226,1.349,1.190).
- 患有医疗保险/医疗补助保险的患者在所有间隔内都有延长的等待时间 (TR>1,P<0.001),而不管CT的指示.
结论:
- 黑人患者和医疗保险/医疗补助保险持有者之间存在ED头部CT等待时间的显著差异.
- 女性患者,特别是头痛患者,也经历了长时间的等待时间.
- 解决这些差异的根本原因对于确保公平及及时获得紧急成像至关重要.
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