卫生保健系统中人口贩运和剥削的受害者:使用大型多州数据集和ICD-10代码的回顾性研究
Alexander Gutfraind1,2,3, Kezban Yagci Sokat4, Guido Muscioni1
1Carelon Inc., Indianapolis, IN, United States.
Frontiers in public health
|October 16, 2023
概括
新的ICD-10贩运和剥削代码显示,在医疗保健中越来越多的使用. 分析显示,超过2700名被诊断的患者,主要是女性,患有高比例的心理健康状况和性传播感染.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 社会学 社会学 社会学
背景情况:
- 全球数百万人受到性和劳工贩运的影响.
- 新的ICD-10诊断代码于2018年底引入,以改善贩运人口的医疗保健.
研究的目的:
- 分析与美国贩运和剥削的新ICD-10诊断代码相关的利用和患者特征.
主要方法:
- 一个大型美国医疗保险公司的数据库搜索 (大约. 47.1万名患者) 在2018年9月至2022年9月期间使用新的ICD-10代码进行诊断.
- 使用回归分析来评估代码使用的年度增长.
主要成果:
- 确定了5262例新的ICD-10代码,由1810名提供者用于2793名患者.
- 年度代码采用增加了5.8%,尽管这与总体数据增长相比呈现下降.
- 最近被贩卖的患者 (1,248) 主要是女性 (83%),平均年龄为20岁,主要经历性剥削 (86%).
- 观察到精神健康状况 (焦虑,PTSD,抑郁症),性传播感染和频繁的急诊室使用的高患病率.
- 最初的贩运报告最常发生在医院外 (55%),通常是在办公室或精神病医生访问期间.
结论:
- 新的ICD-10代码正在被利用,但其采用率表明潜在的诊断不足或报告挑战.
- 被诊断为人口贩运和剥削的患者表现出复杂的健康需求,包括严重的心理健康和传染病负担.
- 医疗保健提供者,特别是在办公室和精神病诊所,在识别和报告人口贩运案件方面发挥着至关重要的作用.
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