当平等不是公平时:获得创伤护理的伦理:从外科角度来看
Bethany L Strong1, Franklin Cosey-Gay2, Kenneth L Wilson2
1Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Annals of surgery
|March 7, 2024
概括
芝加哥大学医学院建立了一个创伤中心和暴力干预计划,以解决芝加哥南区的问题.
科学领域:
- 创伤外科手术是什么
- 公共卫生 公共卫生
- 卫生公平性健康公平性
背景情况:
- 创伤伤害是美国死亡和残疾的重要原因之一.
- 创伤护理中的差异与健康的社会决定因素有关.
- 芝加哥以前的创伤系统与暴力伤害的分布不一致.
研究的目的:
- 描述芝加哥南部的创伤护理需求.
- 在芝加哥医学大学 (UCM) 建立一个成人创伤中心的细节.
- 概述建立一个相关的基于医院的暴力干预计划.
主要方法:
- 社区合作伙伴的描述性分析.
- 咨询创伤计划领导和创伤外科医生.
- 与暴力干预计划主任的接触.
主要成果:
- 2018年5月开业的UCM创伤中心是一个高体积的中心,创伤率达到40%.
- 南侧的患者运输时间减少了多达8.9分钟 (P <0.001).
- 自2018年以来,暴力干预计划已经吸引了8000多名患者,建立了社区和医疗法律伙伴关系.
结论:
- 社区和利益相关者的努力推动了系统性变化.
- 这些变化显然改善了芝加哥南区居民的创伤护理准入和结果.
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