对于使用地理信息系统的儿童航空护理的社会经济障碍
Mark A Fadel1,2, Jennifer L McCoy2, Amber D Shaffer2
1Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
The Laryngoscope
|August 25, 2023
概括
儿童气管切除术患者的地理信息系统 (GIS) 地图显示,退院到过渡期护理增加了急诊室的访问. 较长距离到医院与较少的急诊相相关,无论社会经济因素如何.
科学领域:
- 儿科医疗保健研究 儿科医疗保健研究
- 地理空间健康分析
- 公共卫生信息学 公共卫生信息学
背景情况:
- 地理信息系统 (GIS) 为空间健康分析提供了强大的工具,识别了优化医疗保健提供模式.
- 了解社会经济和地理因素对儿科气管切除术患者结果的影响,对于改善出院后护理至关重要.
研究的目的:
- 使用GIS绘制儿科气管切除术患者的地图.
- 评估社会经济因素和地理位置如何影响退院后的术后护理.
主要方法:
- 一项回顾性研究分析了156名儿科患者 (≤21岁),他们在2015-2020年间接受了气管切除术.
- 使用GIS将患者地址进行地理编码,并分析与医疗保健获取和社会经济脆弱性因素 (贫困,教育,单亲家庭) 的空间关系.
主要成果:
- 被送往过渡期护理的患者 (69.2%) 更有可能访问急诊室 (ED) (OR:2.28,p=0.042).
- 在ED访问率和家庭收入中位数,贫困或成人教育水平之间没有发现显著的关系.
- 没有ED访问的患者与ED访问 (中位数为37.75英里) (p=0.002) 患者相比,住离医院的距离明显更远 (中位数为61.28英里).
结论:
- 地理信息系统绘制提供了有价值的地理定位数据,以识别儿科气管切除术患者的医疗保健准入障碍.
- 这项研究将医疗记录与社会经济数据和健康的社会决定因素相结合,为医疗保健差异提供了独特的见解.
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