对爱尔兰旅行者与非旅行者全科医院患者的急救和急救出勤人数进行了回顾性比较分析
Sandeepa Welgamage1, Ewen Speed2, Eleanor Turner-Moss3
1University of Cambridge.
概括
爱尔兰旅行者更年轻地去急诊室,总体来说重复访问较少,但在20岁以下的队列中更多. 许多出勤是不合适的,远离他们的全科医生,绕过初级保健.
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
- 少数群体健康 少数群体健康
背景情况:
- 关于吉普赛人,罗姆人和旅行者 (GRT) 的健康状况和获得医疗保健的数据有限.
- 在NHS数据中,GRT人口没有被编码,因此面临诸如文盲,数字排斥和歧视等障碍.
研究的目的:
- 调查爱尔兰旅行者患者的紧急医疗利用情况和结果.
- 为了比较爱尔兰旅行者和一般患者群体之间的医疗保健准入模式.
主要方法:
- 对于A&E出席的一般实践记录的回顾性审查 (2017年1月至12月).
- 旅行者和非旅行者患者群体的比较,涉及出席频率,转诊途径,A&E位置和年龄分布.
- 对诊断和管理进行盲目审查,以确定A&E出席的适当性.
主要成果:
- 参观A&E的旅行者患者年轻,在20岁以下的队列中反复出院的比例更高.
- 对于旅行者 (38%) 来说,A&E 出勤不如非旅行者 (56%) 的情况.
- 较少的旅行者被送往医院 (20% vs 36%),大多数人没有首先联系初级保健或NHS 111 (93% vs 75%).
- 旅行者不成比例地参加了遥远的A&E部门 (51%对6%).
结论:
- 爱尔兰旅行者A&E利用模式表明,出席可能更适合非紧急环境.
- 错过的初级保健机会或NHS 111联系人可能会影响护理的连续性,转诊和质量.
- 需要进一步的研究,以了解和解决障碍,以适当的医疗保健获取这群人的障碍.
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