在北卡罗来纳州的医疗补助受益者中,产后紧急护理访问,2013-2019年
Clara E Busse1,2, Catherine J Vladutiu3,4, Divya Mallampati5
1Oak Ridge Institute for Science and Education (ORISE), Office of Science, U.S. Department of Energy, Oak Ridge, Tennessee, USA.
八分之一的医疗补助受益人寻求产后紧急护理,在两周内达到顶峰. 关键诊断包括非特异性症状和物质使用,突出了早期产后支持的需要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产后护理对母亲健康至关重要,但紧急护理利用模式尚未明确.
- 医疗补助受益者代表了一个脆弱的人群,在分娩后期有独特的医疗保健需求.
研究的目的:
- 为了确定北卡罗来纳州医疗补助受益者在活产后8周内紧急护理访问的速度,时间和初级诊断.
- 识别与多次分娩后紧急护理访问相关的特征.
主要方法:
- 利用医疗补助医院索赔和活出生证明的链接数据集,用于2013年1月1日至2019年11月4日之间的出生.
- 估计每周特定的紧急护理访问率 (门诊和住院) 和分析的主要诊断代码.
- 描述了零次,一次,两次或更多次门诊紧急护理访问的个体的特征.
主要成果:
- 12.4%的受益者在产后8周内经历了门诊急诊护理访问,在2周内达到峰值.
- 领先的门诊诊断包括非特异性症状和物质使用;领先的住院诊断是呼吸和胃肠道问题.
- 多次门诊访问的个体更有可能有较低的教育程度,吸烟,非怀孕的医疗补助,心理健康并发症和多种医学并发症.
结论:
- 调查结果强调了早期产后医疗保健安排的重要性,因为急诊率达到峰值.
- 对于这一群体来说,在产后期对物质使用支持服务的需求显然没有得到满足.
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