与药物相关的诊断患者的紧急护理使用情况
Wayne Kepner1, Natasia S Courchesne-Krak2, Nora Satybaldiyeva3
1Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, 1070 Arastradero Road, Palo Alto, CA 94304, USA.
Addictive behaviors reports
|December 17, 2024
概括
有物质相关诊断 (SRD) 的个人更有可能访问急诊室 (ED). 这项研究强调了护理方面的差异,以及对这一群体进行有针对性的干预的必要性.
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
- 药物使用障碍 药物使用障碍
背景情况:
- 药物使用对紧急诊所 (ED) 访问有显著的贡献.
- 在与物质相关诊断 (SRD) 的人中,对ED使用模式的理解有限.
研究的目的:
- 检查SRD患者中ED医疗保健利用模式.
- 分析SRD患者的社会人口特征.
- 确定SRD和紧急护理利用的相关性.
主要方法:
- 利用来自加利福尼亚州大型医疗保健系统的电子健康记录 (EHR) (2012年4月至2019年9月).
- 进行调整后勤回归模型.
- 分析了社会人口因素和与SRD相关的紧急护理.
主要成果:
- 在342,651名成年患者中,5.26%患有SRD.
- 与酒精,阿片类药物和兴奋剂相关的诊断显示ED访问的几率最高 (3.75,3.57,3.48).
- 患有SRD的个人更有可能是男性,黑人/非洲裔美国人,西班牙裔/拉丁裔,没有保险,并患有严重的精神疾病.
结论:
- 在SRD和紧急医疗服务利用之间存在显著的关联.
- 人口差异 (性别,种族/族裔,保险,心理健康) 在SRD患者中是显而易见的.
- 研究结果支持针对性的查和干预措施,以预防或管理这一群体的紧急护理需求.
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