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患有的成年人中的急诊室利用率:多州横截面分析,2010-2019年

Lidia Moura¹, Ioannis Karakis², David Howard³

¹Department of Neurology, Massachusetts General Hospital, Boston, MA, USA; Department of Neurology, Harvard Medical School, Boston, MA, USA.

Epilepsy research

|August 8, 2024

概括

患有 () 的成年人经常访问急诊室 (ED),从2010年到2019年,这一比例增加了. 这凸显了需要更好的门诊护理,以减少ED的使用.

科学领域:

神经学神经学
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

影响着数以百万计的成年人,导致大量的医疗保健利用.
紧急诊所 (ED) 访问是医疗保健需求和慢性疾病的门诊护理潜在缺口的关键指标.

研究的目的:

描述美国成年患者使用ED的模式和趋势.
分析影响ED访问率和这一群体获得医疗保健的因素.

主要方法:

从七个美国州 (2010-2019) 的住院和ED出院数据的横截面分析.
根据付款人,病情和年份分层计算ED访问率,使用发病流行率估计.
患有和没有的成年人之间的ED访问率的比较.

主要成果:

在2019年,304,935次ED访问涉及作为主要或次要诊断.
患有的成年人的ED访问率明显高于没有的成年人,特别是在医疗保险和医疗补助受益者中.
患有的成年人住院率更高,神经系统和心理健康状况的访问增加.
在2010年至2019年期间,的ED访问率比一般成年人群增加得更大.

结论:

患有的成年人呈现出高且不断增加的急诊室利用率.
这些发现强调了改善门诊护理和有针对性的干预措施的迫切需要,以有效管理并减少对紧急服务的依赖.

关键词:

紧急情况紧急情况是一种病.医疗保健提供医疗保健提供发作在发作.[MeSH 唯一标识] 是一个唯一标识.

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