分析了导致儿童急诊室不适当访问的因素
Ilaria Liguoro1, Yvonne Beorchia2, Luigi Castriotta2
1Division of Pediatrics, University Hospital of Udine, P.zzale S. Maria della Misericordia, 15. 33100, Udine, Italy. ilarialiguoro@gmail.com.
European journal of pediatrics
|September 27, 2023
概括
近一半的非紧急儿科紧急诊所访问是不合适的,这是由于感知到紧急情况和难以获得初级保健. 为更好地利用医疗保健资源,教育父母如何管理常见的儿童疾病至关重要.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 据估计,20-30%的儿科急诊室 (PED) 访问是不适当的.
- 不适当的访问导致过度拥挤,成本增加,以及患者和工作人员的不满.
研究的目的:
- 分析导致儿童急诊室不适当访问和滥用的因素.
- 评估家长的看法及其与访问适当性的相关性.
主要方法:
- 在意大利PED中对非紧急代码的儿童进行横截面研究 (2022年6月至9月).
- 使用"Mattoni SSN"项目的标准 (选,诊断,结果) 评估了访问的适当性.
- 通过验证的问卷收集家长的感知;使用统计测试和后勤回归分析数据.
主要成果:
- 44.8%的非紧急访问被认为是不合适的.
- 访问的主要原因包括对立即护理的感知需要 (31.5%),立即诊断测试 (26.7%),以及与儿科医生联系的困难 (26.3%).
- 不适当与孩子的年龄,男性性别,最近的急性疾病,皮肤皮疹和腹痛相关.
结论:
- 迫切需要采取措施来减少PED的滥用.
- 赋予父母关于管理常见儿科健康问题的教育,可以提高医疗保健资源利用率.
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