在美国,地理上难以获得专门的儿科烧伤护理的挑战
Jacob M Dougherty1,2,3, Eva S Blake4, Christopher J Rittle1,2,3
1Department of Surgery, University of Michigan, 2101 Taubman Center, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.
概括
大多数美国儿童可以进入儿科烧伤中心,但访问率低于创伤中心. 需要进一步研究验证与未经验证的燃烧中心质量.
科学领域:
- 儿科外科手术 儿科外科手术
- 公共卫生 公共卫生
- 医疗保健的地理接入
背景情况:
- 美国对儿科烧伤中心的地理准入没有得到充分的记录.
- 患者可以在经过验证的烧伤中心,未经验证的烧伤中心或非烧伤中心接受护理.
- 以前的研究集中在美国烧伤协会 (ABA) 认证的中心,而不是所有的儿科烧伤中心.
研究的目的:
- 评估美国各地区所有儿科烧伤中心的地理接入.
- 为了比较对儿科烧伤中心的准入与美国外科医生协会 (ACS) 认可的儿科创伤中心的准入.
主要方法:
- 一项使用2022年美国人口普查数据的观察性队列研究,针对14岁及以下的个人.
- 评估了居民在居住地邮政编码50英里,100英里和300英里范围内进入儿科烧伤和创伤中心的机会.
- 通过ABA目录识别的儿科烧伤中心和通过ACS目录验证的儿科创伤中心.
主要成果:
- 美国62.1%,83.5%和98.6%的儿童分别生活在距离儿科烧伤中心50,100和300英里之内.
- 与ACS验证的儿科创伤中心相比,获得ABA验证的儿科烧伤中心的机会较低.
- 该研究考虑了对所有儿科烧伤中心的访问,而不仅仅是经过ABA验证的.
结论:
- 与儿科创伤中心相比,美国人口对儿科烧伤中心的访问有限.
- 需要进一步的研究来了解验证和未经验证的烧伤中心之间的护理质量差异.
- 调查服务和结果对于改善儿科烧伤护理至关重要.
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