医疗补助类型的孕妇在怀孕期间使用急诊室
Alyssa Hersh1, Ann Martinez Acevedo1, Ava Mandelbaum1
1Oregon Health & Science University.
Research square
|December 23, 2024
概括
传统医疗补助计划的孕妇比紧急医疗补助计划的孕妇更频繁地使用急诊室 (ED). 这项研究强调了不同类型的医疗补助计划的孕妇在获得医疗保健方面的差异.
科学领域:
- 孕产妇健康 孕产妇健康
- 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
背景情况:
- 在有医疗补助的孕妇中,急诊室 (ED) 的使用普遍存在.
- 基于医疗补助类型的ED利用差异存在有限的理解,特别是限制门诊患者访问的紧急医疗补助.
研究的目的:
- 为了比较与紧急医疗补助和传统医疗补助的孕妇之间的急诊室 (ED) 使用情况.
- 检查与ED使用模式相关的怀孕结果.
主要方法:
- 在南卡罗来纳州 (2010-2019) 的医疗补助接收者中,对出生者的回顾性队列研究 (2010-2019).
- 主要结局:怀孕期间的ED访问.
- 二次结果:访问频率,围产期结果和医疗费用.
主要成果:
- 分析包括了240,597个出生.
- 与紧急医疗补助 (22.7%) 相比,传统医疗补助患者中至少有一次ED访问的比例较高 (58.2%).
- 患有ED诊所的患者更有可能是年轻的,黑人,农村,无卵性,有不同的BMI和先前存在的疾病.
结论:
- 传统医疗补助计划的个人比紧急医疗补助计划的个人更有可能进行产前ED访问.
- 研究结果表明,在怀孕期间医疗补助类型的基础上,医疗保健的获取和利用情况存在差异.
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