德国公众对急诊室的可访问性和质量的看法
Jens Klein1, Sarah Koens1, Martin Scherer2
1University Medical Center Hamburg-Eppendorf, Institute of Medical Sociology, Hamburg, Germany.
The western journal of emergency medicine
|May 27, 2024
概括
关于急救部门 (ED) 可访问性和质量的公众信念影响利用. 了解这些看法,特别是那些健康素养较低的人,是减少ED拥挤的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 紧急服务室 (ED) 的拥挤与不良健康结果有关.
- 关于公众对ED可访问性和质量的信念的理解有限.
- 这项研究调查了公众对ED的看法及其与社会人口因素和健康素养的相关性.
研究的目的:
- 检查公众对紧急服务部门 (ED) 可及性和质量的看法.
- 确定这些信仰与社会特征的关联,包括性别,年龄,教育和移民背景.
- 探索公众的信仰和对紧急护理服务的知识与健康素养之间的关系.
主要方法:
- 一项横截面研究与德国汉堡2,404名成年人的随机样本进行.
- 经过验证的尺度衡量了公众对ED可访问性 (Cronbach的α = 0.76) 和质量 (Cronbach的α = 0.75) 的信念.
- 线性回归分析评估了信念,社会特征和健康素养之间的关联 (HLS-EU-Q6).
主要成果:
- 很大一部分受访者认为ED总是可用于非紧急问题或与工作有关的时间限制.
- 关于ED可访问性和质量的公众信念与社会特征和对紧急服务的了解有很大关系.
- 在知识和可访问性 (β = -0.17) 和教育和质量 (β = -0.23) 之间发现了最强的关联.
结论:
- 关于ED可访问性和质量的公众信念可能会导致不适当的使用.
- 了解替代紧急服务对于适当使用ED至关重要.
- 针对社会贫困人口的有针对性的信息宣传活动可以帮助缓解ED拥挤.
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