在重创幸存者中使用医疗服务:来自加拿大安大略省的一项基于人口的队列研究
Christopher C D Evans1, Wenbin Li
1From the Department of Emergency Medicine (C.C.D.E.), Kingston Health Sciences Center, and ICES (C.C.D.E., W.L.), Queen's University, Kingston, Ontario, Canada.
The journal of trauma and acute care surgery
|May 9, 2024
概括
经历重大创伤的幸存者在出院后的几年里,医疗服务使用率增加. 这项研究突出了长期护理需求,并确定了影响创伤患者使用服务的因素.
科学领域:
- 创伤护理和康复治疗
- 医疗服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 对于重创幸存者在受伤后获得长期医疗服务的理解有限.
- 需要描述创伤幸存者的卫生服务利用模式和相关的社会人口统计因素.
研究的目的:
- 描述医疗服务在医院出院后重创幸存者的使用情况.
- 识别与服务利用率变化相关的社会人口因素.
主要方法:
- 基于人口的回顾性病例控制研究 (2011年4月至2021年3月).
- 相关的行政数据比较创伤幸存者 (n=55,060) 与匹配的对照组 (n=218,346).
- 多变量回归分析了医疗服务使用情况 (门诊,ED,住院) 在出院后的5年内.
主要成果:
- 与对照组相比,创伤幸存者在整体卫生服务使用率上升了56%.
- 在创伤幸存者中,住院病例增加了88%.
- 男性性别和农村居住与整体服务使用量减少,但急诊室访问量增加相关.
结论:
- 大型创伤幸存者有持续的,长期的医疗服务需求,延长了最初的出院后的几年.
- 需要进一步的研究,以了解长期医疗服务需求的原因,并将护理与服务交付保持一致.
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