在非致命的枪支伤害后,医疗保健利用
Kelsey A B Gastineau1, Elizabeth R Oddo2, Lizmarie G Maldonado3
1Department of Pediatrics, Monroe Carell Jr Children's Hospital at Vanderbilt and Vanderbilt University Medical Center, Nashville, Tennessee.
Pediatrics
|December 15, 2023
概括
没有致命的枪支伤害的儿童在伤害后的12个月内面临着显著更高的医疗保健利用率和成本. 这包括住院和急诊室访问的增加,突出了严重的公共卫生问题.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
背景情况:
- 枪支伤害是儿童的重大公共卫生问题.
- 关于儿童中非致命的枪支伤害后的医疗保健需求的数据有限.
研究的目的:
- 描述非致命枪支伤害的年轻人使用医疗保健和相关费用.
- 为了比较医疗保健使用在医疗补助和商业保险的年轻人后枪支伤害使用倾向得分匹配.
主要方法:
- 使用2015-2018年医疗补助和商业市场数据进行了 propensity score匹配的队列分析.
- 0-17岁的年轻人与非致命的枪支伤害被1:1匹配到没有受伤的同龄人.
- 医疗保健利用率 (住院,急救,门诊) 和成本被评估为伤害后的12个月.
主要成果:
- 枪支受伤的年轻人显示住院住院的风险增加了5.31倍,急诊室访问的风险增加了1.49倍.
- 门诊访问的风险增加了1.06倍.
- 与未受伤的年轻人 (1990美元) 相比,受伤的年轻人 (7581美元) 的平均12个月医疗保健费用要高得多.
结论:
- 年轻人非致命的枪支伤害导致住院,急诊室访问,门诊访问和医疗保健费用大幅增加.
- 这些发现强调了枪支伤害对医疗保健系统的巨大负担.
- 预计2020年美国青年非致命枪支伤害将为人口医疗保健节省6290万美元.
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