旅行时间作为治疗手术紧急情况缺乏医疗服务的指标
Nina M Clark1, Alexandra H Hernandez1, Mia S Bertalan1
1Department of Surgery, University of Washington, Seattle.
JAMA network open
|January 21, 2025
概括
较长的前往急救护理的旅行时间与更复杂的手术条件和医疗保健使用量的增加有关. 这强调了旅行时间是评估进入紧急外科服务的关键指标.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
- 外科手术的结果
背景情况:
- 及时获得紧急护理至关重要,特别是对于快速恶化的情况.
- 旅行时间和紧急手术条件的复杂性之间的关系尚未得到充分理解.
研究的目的:
- 评估如何旅行时间紧急护理影响疾病复杂性在紧急整体外科手术.
- 确定旅行时间是否与临床结果和医疗保健资源利用相关.
主要方法:
- 以佛罗里达州和加利福尼亚州 (2021) 的全州住院和急诊部数据为依据的回顾性队列研究.
- 包括5个常见的紧急整体外科病症的成年患者.
- 分析了旅行时间作为主要暴露和疾病复杂性作为主要结果.
主要成果:
- 较长的旅行时间 (>120分钟) 与复杂疾病呈现的可能性更高有关.
- 长途旅行的患者更有可能需要手术,入院,转移,住院时间更长.
- 随着旅行时间的延长,医疗费用的增加也被观察到.
结论:
- 到急救医院的行程时间与治疗延迟和手术紧急情况的资源利用率增加有关.
- 旅行时间是评估获得护理的有价值指标,可能比农村地区等静态指标更重要.
- 调查结果可以为政策制定提供信息,以改善紧急护理的准入,特别是在医院关闭的情况下.
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