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使用地理编码数据探索哪些患者使用他们最近的急诊室
Anagha Tolpadi1, Marc N Elliott1, Kirsten Becker1
1RAND Corporation, Santa Monica, California.
The Journal of emergency medicine
|September 9, 2023
概括
不到一半的成年人前往最近的急诊室 (ED). 选择更远的ED的患者往往寻求更高评级的医院,并报告更好的护理体验.
科学领域:
- 医疗保健管理的管理
- 患者行为研究 患者行为研究
- 紧急医疗 紧急医疗
背景情况:
- 每年,大约有20%的美国成年人使用急救部门 (ED) 的服务.
- 对于患者在选择ED时的决策过程的了解有限.
研究的目的:
- 调查患者在ED之间选择时的自由裁量权.
- 为了确定影响ED选择的特征.
- 分析ED选择和患者报告的护理经验之间的关系.
主要方法:
- 调查了4647名成年患者,他们从16家医院急救中心出院 (2018年1月至3月).
- 地理编码患者和ED地址来计算旅行距离.
- 使用线性回归来评估选择最接近ED和患者体验指标之间的关联.
主要成果:
- 43.6%的患者访问了他们最近的ED (平均距离5.7英里).
- 选择更远的ED的患者往往有更紧迫的情况,并喜欢具有专业服务的高等级,大都会,教学医院.
- 选择更远的ED与更高的推该设施的可能性相关.
结论:
- 不到一半的患者使用最近的急诊室.
- 患者的ED选择受到医院质量和专业服务的感知的影响.
- 选择更远的ED与更积极的患者体验和更高的推率有关.
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