在英语水平有限的患者中绘制医院护理的隔离模式
Kathy Sliwinski1,2, April J Ancheta3, K Jane Muir4
1Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA. kssli@upenn.edu.
Journal of immigrant and minority health
|September 13, 2024
概括
具有有限英语水平 (LEP) 的个人通常在有更高再入院率的医院接受护理,这表明质量较差. 这些高LEP体积的医院可能不是LEP患者最接近的选择,这表明医疗保健获取和结果的潜在差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 公共卫生中的地理信息系统 (GIS)
背景情况:
- 有限的英语水平 (LEP) 与较差的医疗保健结果有关,受医院质量等社会决定因素的影响.
- 种族少数群体通常在质量较差的医院接受护理,即使有更接近,更高质量的选择.
- 对于LEP患者的住院模式,医院选择和护理质量,人们的了解有限.
研究的目的:
- 使用GIS绘制新泽西州LEP人口的住宅模式.
- 根据LEP个体 (高,中,低) 的患者数量对医院进行分类.
- 分析不同LEP医院体积类别的30天住院再接收率.
主要方法:
- 利用地理信息系统 (GIS) 创建LEP人口的密度地图,按邮政编码表格区 (ZCTAs) 划分.
- 根据患者人口统计数据,分类医院为高,中或低LEP数量.
- 分析的医疗保险和医疗补助服务中心 (CMS) 医院比较数据为30天的全医院再接收率.
主要成果:
- 大多数LEP人口较多的地区的医院为LEP患者提供大量服务.
- 一些LEP患者选择在遥远的LEP体积较高的医院接受护理,而不是更接近的替代方案.
- 高LEP体量医院的30天再入院率 (20.1%) 与中等 (15%) 和低 (11.3%) 体量医院相比显著更高 (p < .001).
结论:
- 服务于LEP患者数量较高的医院的护理质量较差,再接收率的增加证明了这一点.
- 患有LEP的患者可能面临障碍或做出选择,导致他们在质量较差,再入院率较高的医院接受护理.
- 调查结果突出了LEP人群的潜在医疗保健获取和质量差异,这需要进一步调查和干预.
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