重症儿童医院间转移的旅行距离:一个地理空间分析
Allan M Joseph1, Christopher M Horvat, Billie S Davis
1All authors: Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Critical care explorations
|October 25, 2024
概括
患重病的儿童往往需要长途旅行进行医院间转移. 改善医院前选可以防止一些转移,并优化儿科患者的护理.
科学领域:
- 儿科重症监护 儿科重症监护 儿科重症监护
- 地理空间分析是什么?
- 医疗保健系统研究研究
背景情况:
- 美国儿科急性护理系统越来越集中.
- 医院间转移是儿科重症监护的日益增长的组成部分.
- 了解患者的旅行模式对于系统评估至关重要.
研究的目的:
- 进行地缘空间分析重症儿童接受设施间转移.
- 检查从病人的住所到医院的旅行距离.
- 评估在儿科转移中潜在的低于最佳分拣的发生率.
主要方法:
- 五个美国州级行政数据库 (2016-2019) 的回顾性分析.
- 包括10,665名儿童和11,713次医院间转移事件.
- 旅行距离和分拣决策的地理空间分析.
主要成果:
- 患者最初出现在他们居住地附近的医院 (中位数为4.2英里).
- 医院间转移涉及大量的旅行 (医院之间的中位数为28.9英里).
- 在24.2%的转移中,发生了潜在的低于最佳的分类,在城市地区更常见,并且不那么复杂.
结论:
- 儿科重症监护以枢纽式的模式运行,需要长时间的转移.
- 加强医院前选可能会减少不必要的医院间转移.
- 转移决策平衡地理位置,将患者需求与医院资源相匹配.
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