照顾寻求庇护的患者:来自纽约市安全网系统的早期数据
Remle Newton-Dame1, Laura Jacobson, Andrew B Wallach
1Author Affiliations: Office of Ambulatory Care and Population Health, New York City Health + Hospitals, New York, New York (Newton-Dame, Jacobson and Silverman); Office of Ambulatory Care and Population Health, New York City Health + Hospitals, NYU Grossman School of Medicine, New York, New York (Drs Wallach and Long); and Department of Pediatrics, New York City Health + Hospitals/Bellevue, NYU Grossman School of Medicine, New York, New York (Dr Dreyer).
纽约市卫生+医院 (H+H) 对寻求庇护者进行了研究.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 移民健康 移民健康
背景情况:
- 在2022年至2024年期间,超过20万名寻求庇护者抵达纽约市 (NYC).
- 纽约市卫生 + 医院 (H + H),该市的安全网系统,正在为这群人提供领先的护理.
研究的目的:
- 获取有关新抵达的寻求庇护者的利用和医疗保健需求的早期见解.
- 分析庇护寻求者的人口统计,保险状况,医疗保健利用率和初级诊断.
主要方法:
- 利用了来自纽约市卫生+医院 (H+H) 的电子病历 (EMR) 数据.
- 开发了一种混合定义来识别寻求庇护者患者.
- 将寻求庇护者的数据与其他患者进行比较,分别分析成人和儿科人口.
主要成果:
- 2023年,寻求庇护者占H+H患者的1.4%.
- 寻求庇护者使用医疗保健服务比其他患者少,在成年人中,怀孕和分娩的使用率很高.
- 寻求庇护的儿童在接受初级保健时表现出较高的初级保健参与率和较高的疫苗接种率.
- 成人初级保健参与度和行为健康访问量特别低.
结论:
- 怀孕和分娩是成年寻求庇护者的关键医疗保健需求.
- 通过初级保健参与,提高儿童疫苗接种率至关重要.
- 协调努力至关重要,以满足移民抵达者的各种医疗保健需求,安全网医院发挥着至关重要的作用.
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