文化和语言多样化的患者利用紧急医疗服务:基于人口的回顾性研究
Phuc Huu Le1, Shelley Cox2,3, Pari Delir Haghighi1
1Department of Human-Centred Computing, Monash University, Australia.
Prehospital emergency care
|July 22, 2024
概括
澳大利亚的文化和语言多样性 (CALD) 患者使用紧急医疗服务 (EMS) 的频率低于非CALD患者,特别是对于创伤和心理健康需求. 年龄影响了利用率,年长的CALD个体更经常使用EMS.
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
- 流行病学 流行病学
背景情况:
- 了解紧急医疗服务 (EMS) 的利用对于公平获得医疗保健至关重要.
- 文化和语言多样性 (CALD) 的人口可能面临独特的障碍,无法获得医疗保健服务.
研究的目的:
- 为了比较澳大利亚维多利亚州CALD和非CALD患者之间的EMS利用率.
- 确定影响这些利用差异的人口和临床因素.
主要方法:
- 一项回顾性研究分析了2015年1月至2019年6月维多利亚州的EMS,医院急诊和入院数据.
- 包括接受EMS护理和运送到公共急诊室的CALD和非CALD患者.
- 使用EMS的发生率是根据2016年人口普查数据计算每10万人/年.
主要成果:
- 总的来说,CALD患者在年龄和性别调整后显示EMS利用率较低 (IRR0.49,95%CI:0.42-0.56).
- 年轻的CALD患者 (<70岁) 使用EMS较少,而年长的CALD患者 (≥75岁) 使用EMS较高.
- CALD患者不太可能使用EMS治疗创伤/外部损伤 (IRR = 0.67) 和心理健康/酒精/毒品问题 (IRR = 0.39).
结论:
- 与非CALD患者相比,CALD患者使用EMS的频率较低,根据年龄,出生国和临床表现存在显著差异.
- 在CALD人群中使用EMS的差异需要进一步调查.
- 了解潜在因素对于制定有针对性的干预措施至关重要,以确保平等获得紧急护理.
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