及时获得韩国二级儿科服务:减少儿童和青少年死亡率的关键
Minku Kang1, Young June Choe2, Hye Sook Min3
1Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
Epidemiology and health
|July 19, 2024
概括
在地理位置上获得儿科护理显著影响儿童的生存率. 访问有限的地区,特别是社会经济地位较低的地区,儿童死亡率较高,突出显示普遍医疗覆盖的差距.
科学领域:
- 儿童获得医疗保健的机会.
- 地理上的健康差异.
- 儿童死亡率研究儿童死亡率研究
背景情况:
- 在像韩国这样的全民医疗覆盖系统中,在获得二级儿科护理的地理差异仍然存在.
- 及时获得儿科护理对于儿童的生存和健康结果至关重要.
研究的目的:
- 调查在韩国获得二级儿科护理的地理位置与儿童和青少年 (0-19岁) 的死亡率之间的联系.
- 量化可访问性脆弱性对儿科死亡率的影响.
主要方法:
- 韩国地区级数据的分析.
- 计算可访问性脆弱性指数 (AVI) 基于距离最近的二级儿科护理提供者60分钟的行程半径.
- 统计分析以确定AVI和儿科死亡率之间的关系.
主要成果:
- 可访问性脆弱性指数 (AVI) 在各个区之间存在很大差异.
- 高AVI (较差接入) 的地区与较低的社会经济地位存在不成比例的关联.
- AVI的10%增加与儿童和青少年 (0-19岁) 的死亡率上升8%相关.
结论:
- 在韩国,儿科护理的获取存在显著的地理差异.
- 获得二级儿科护理的限制与儿童和青少年死亡率的增加有关.
- 解决这些接入差距对于实现公平的全民健康覆盖和改善儿童生存率至关重要.
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