暴力受害者康复服务的差异
Megan G Janeway1, Ella Cornell2, Sophia M Smith1
1Department of Surgery, Boston Medical Center, Boston, Massachusetts; Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.
The Journal of surgical research
|January 22, 2025
概括
遭受暴力伤害的患者获得必要的康复服务的可能性明显低. 这种差异可能源于设施偏见,突出需要防止选过程中的歧视.
科学领域:
- 创伤外科 手术 创伤外科
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 获得创伤后康复服务对于功能恢复至关重要.
- 以前的研究还没有调查伤害意图 (暴力与非暴力) 对接受康复服务的影响.
研究的目的:
- 确定暴力伤害与接受康复服务的可能性之间的关联.
- 探讨基于伤害意图的解雇建议和拒绝服务的差异.
主要方法:
- 在一级创伤中心对成年创伤患者 (2014-2021) 的回顾性队列研究.
- 主要暴露:暴力伤害. 主要结果:在出院后接受康复服务.
- 排放处置和服务拒绝原因的探索性子组分析.
主要成果:
- 与非暴力受伤患者相比,暴力受伤患者 (22.4%) 接受住院康复 (RRR 0.23) 和家庭服务 (RRR 0.54) 的可能性明显低.
- 暴力伤害与出院推降级 (27.8% vs 9.4%) 和30天急诊室访问 (32.0% vs 13.3%) 的可能性更高.
结论:
- 暴力伤害独立地与减少获得康复服务的机会有关.
- 调查结果表明潜在的设施选择偏见,需要进一步调查.
- 对暴力受害者进行康复查的歧视保护措施是必不可少的.
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