在胃肠道疾病的情况下,预期使用紧急护理的变化
Jens Klein1, Sarah Koens1, Martin Scherer2
1Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
许多人不适当地使用紧急设施处理非紧急问题. 诸如男性性别,青春期和晚上症状发作等因素增加了紧急护理的利用率,突出了需要更好的公共信息和服务组织.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 过度拥挤的急诊室 (ED) 和频繁的急诊护理使用对患者和医疗保健专业人员构成重大风险.
- 了解寻求公共卫生服务的行为,特别是对于紧急和非紧急情况,对于优化医疗资源配置至关重要.
研究的目的:
- 调查一般人群如何打算利用胃肠道症状的紧急护理服务.
- 确定影响紧急和非紧急医疗保健服务之间的选择的人口和情境因素.
主要方法:
- 在德国汉堡,对1,204名成年人进行了一项横截面电话调查.
- 参与者被展示了24个描述炎症性胃肠道疾病的图片,根据性别,年龄,白天的时间和紧急情况而有所不同.
- 一个开放式问题评估了参与者对自己或孩子的预期医疗保健使用情况.
主要成果:
- 大约14%的参与者表示,他们会在非紧急情况下使用紧急设施.
- 预期的紧急护理使用情况有很大差异,即使对于可比的紧急程度.
- 青春期,男性性别和晚上出现的症状与更高的预期使用急诊室 (ED) 和救护车有关.
- 对非紧急问题的不适当利用在男性和具有移民背景的个人中更为常见.
结论:
- 公众对紧急护理服务的看法和使用受到临床紧急情况以外的各种因素的影响.
- 建议进行有针对性的信息宣传活动和紧急护理服务的重组,以解决不适当的使用问题.
- 未来的干预措施应考虑人口因素,如性别,年龄和移民背景,以改善医疗保健的获取和效率.
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