在农村国家获得创伤护理:描述性的地理和人口分析
Heather M Stamey1, Katherine R Meyers1, John T Fordham1
1St. Vincent Healthcare, Billings, Montana.
在蒙大拿州,获得创伤护理的机会有限,特别是对于美洲印第安人和老年居民来说. 农村地区需要改善创伤护理的准入,以减少差距和伤害死亡.
科学领域:
- 公共卫生 公共卫生
- 农村健康差异 农村健康差异
- 在医疗保健中的地理信息系统 (GIS)
背景情况:
- 蒙大拿州面临的挑战是,获得先进的创伤护理的机会有限.
- 该州的伤亡率高于全国平均水平.
研究的目的:
- 用GIS评估蒙大拿州的创伤护理附近情况.
- 确定服务不足地区的人口特征.
主要方法:
- 利用Maptitude GIS软件绘制创伤中心可访问性的地图.
- 定义为在60分钟车程内到达II/III级创伤中心或任何创伤护理设施.
- 分析了人口统计数据,以确定缺乏访问权限的人口.
主要成果:
- 63%的蒙大拿州居民在60分钟内到达高级创伤护理.
- 83%的人在60分钟内得到任何创伤护理.
- 老年人 (65岁以上) 和美洲印第安人群体对两级创伤护理的获得减少.
结论:
- 蒙大拿州的创伤护理准入率明显低于全国平均水平,美国印第安人的差异显著.
- 确保农村医院配备创伤护理设备对于缓解这些差异至关重要.
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