对于主观首席投诉的急诊室患者的分类中的种族差异
Cassandra Peitzman1, Jossie A Carreras Tartak1, Margaret Samuels-Kalow1
1Massachusetts General Hospital, Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.
The western journal of emergency medicine
|October 3, 2023
概括
黑人和西班牙裔患者获得较低的分拣分数,导致更糟糕的护理,特别是主观投诉. 这项研究突出了这些群体在急诊室分拣中的潜在偏见.
科学领域:
- 紧急医疗 紧急医疗
- 健康 公平 卫生 公平
- 临床分类是临床分类.
背景情况:
- 在获得医疗保健和医疗保健结果方面存在种族差异.
- 黑人和西班牙裔患者通常比白人患者获得较低的分辨分数.
- 主观投诉可能更容易受到选决策中的偏见的影响.
研究的目的:
- 为了调查是否在分拣得分的种族差异更明显的患者主观投诉.
- 分析与白人患者相比,黑人和西班牙裔患者的分拣分配.
- 识别紧急部门 (ED) 选过程中的潜在偏差.
主要方法:
- 对成人ED访问 (2016-2019) 的回顾性分析.
- 主要投诉的分类:主观,观察,数值,协议化.
- 后勤回归模型控制人口统计和抵达因素.
主要成果:
- 黑人和西班牙裔患者不太可能被分配高急性选分数 (aOR < 1).
- 这种差异在主观投诉方面更大,如胸痛,呼吸困难和疼痛.
- 需要高急性护理的患者最初不成比例地被分类,以降低主观投诉的急性.
结论:
- 黑人和西班牙裔成年人,特别是那些有主观投诉的人,面临不成比例的低急性分类.
- 这表明在ED triage期间评估主观症状时可能存在偏见.
- 需要进一步的研究来解决和减轻对主观投诉的分拣方面的偏见.
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