从紧急部门接收的移民工人的特点
Jie Er Janice Soo1, Joanna Shi-En Chan1, Hanis Abdul Kadir2
1Department of Emergency Medicine, Singapore General Hospital, Singapore.
Singapore medical journal
|January 24, 2024
概括
在新加坡,移民工人 (MW) 的入院往往是因为非创伤状况. 非工作场所伤害 (NWI) 创伤可能是严重的,导致高医疗费用超过MW的保险.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 医疗保健政策 医疗保健政策
背景情况:
- 新加坡的移民工人 (MW) 进入急诊室 (ED),特别是对于与工作无关的问题,研究不足.
- 本研究检查了ED分拣敏度以及与非创伤,工作场所伤害 (WI) 创伤和非工作场所伤害 (NWI) 创伤相关的MW入院的相关成本.
研究的目的:
- 分析新加坡移民工人急诊室入院的特点和财务影响.
- 在移民工人群中比较创伤 (工作场所与非工作场所伤害) 和非创伤入院的分拣敏度和计费信息.
主要方法:
- 对通过ED接收到三个公共医院的工作许可证持有人进行了回顾性观察性研究.
- 从2016年5月到10月的数据收集包括人口统计,分拣敏度和计费信息.
主要成果:
- 创伤占入院病例的33%,其中73%是由于工作场所伤害 (WI).
- 与非工作场所伤害 (NWI) 的创伤病例相比,非工作场所伤害 (NWI) 的创伤病例更有可能是高敏度 (P1),需要救护车运输,并触发创伤团队激活,而非WI.
- 显著的NWI入学比例 (22%) 超过了保险索赔限额,而WI入学比例仅为3%.
结论:
- 移民工人因非创伤性疾病而入院的频率比创伤性疾病更高.
- 非工作场所伤害创伤可能是严重的,非创伤和NWI的入院可能会产生超过强制性保险覆盖的成本.
- 最近针对MW医疗保健成本和初级保健准入的政策变化是及时和相关的.
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