退伍军人在扩大选择时代的社区紧急护理使用
Anita A Vashi1,2,3, Tracy Urech1, Siqi Wu1,4
1Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California.
JAMA network open
|March 8, 2024
概括
退伍军人使用社区急诊室 (ED) 在2016年至2022财年期间从18%大幅增加到37%. 这一趋势凸显了对非退伍军人事务 (VA) 机构急需退伍军人护理的日益依赖.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 退伍军人卫生管理局退伍军人卫生管理局
- 紧急医疗 紧急医疗
背景情况:
- 最近的立法扩大了退伍军人在社区环境中接受紧急护理的选择.
- 退伍军人使用社区急诊室 (ED) 的全国趋势以前是未知的.
研究的目的:
- 检查退伍军人社区ED访问的国家和时间趋势.
- 探索设施特征与社区护理采购之间的关联.
主要方法:
- 从2016年到2022财年对ED访问的回顾性,观察性横截面研究.
- 分析VA和社区ED遇到超过390万独一无二的退伍军人的数据.
- 负二项式回归来评估与社区ED使用相关的因素.
主要成果:
- 在2016年至2022财年期间,社区ED访问量从ED总访问量的18%增加到37%.
- 社区ED支付总额从1180亿美元增加到超过614亿美元 (2021年美元调整).
- 较高的ED体积和较低的设施复杂性与社区紧急护理率的增加有关.
结论:
- 退伍军人越来越多地利用社区EDS来满足急性,非计划的护理需求.
- 了解这些趋势对于识别进入障碍和确保全面的退伍军人医疗保健至关重要.
- 进一步关注影响社区ED使用的因素是必要的,以有效地满足退伍军人的医疗保健需求.
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