跨越界限:跨越国家边界获得创伤护理
Satvika Kumar1, Jamie Song1, Patrick M Reilly1
1University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Trauma surgery & acute care open
|February 27, 2024
概括
国家边界可能会影响创伤护理的准入. 这项研究发现,5.8%的美国人口普查区组最接近州外创伤中心,突出了需要清晰的跨境紧急医疗服务 (EMS) 政策的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 国家边界可以为及时获得创伤护理带来挑战.
- 确定依赖于州外创伤中心的人口和地理区域对于紧急医疗服务 (EMS) 规划至关重要.
研究的目的:
- 确定最接近州外创伤中心的地区的人口,受伤和地理范围.
- 分析国家关于跨境创伤运输的EMS政策.
主要方法:
- 利用美国创伤学会的数据来识别创伤中心 (I,II,III级).
- 使用ArcGIS绘制人口普查区组和创伤中心之间的距离.
- 查询国家公路交通安全管理局的数据,以获得致命事故统计数据.
- 基于跨境运输政策的分类状态EMS协议.
主要成果:
- 7.8%的人口普查区组最接近州外一级或二级创伤中心,占人口的6.9%和机动车辆死亡事故的9.5%.
- 包括第三级创伤中心,5.8%的人口普查区组最接近州外中心 (5.1%的人口,7.1%的死亡).
- 在48个相连的州中,有30个鼓励,2个阻止,12个是中立的,4个将跨境运输交给当地自由裁量权.
结论:
- 跨境交通可以改善至少5.8%的美国人口普查区组获得创伤护理的机会.
- 虽然大多数州允许跨境运输,但更明确的政策可以最大限度地减少延误并改善患者的治疗结果.
关键词:
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