社会经济地位与对儿科急诊室非紧急情况的介绍之间的关联:一项回顾性研究
Alexandre Mancheron1, Christophe Vincent-Cassy2, Romain Guedj3
1Université Paris Cité, ECEVE, UMR 1123 Unit, Inserm.
概括
贫困城市地区的儿童更有可能前往急诊室 (ED) 寻求非紧急护理. 这突显了医疗保健获取和利用的社会经济差异.
科学领域:
- 公共卫生 公共卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
- 城市健康不平等
背景情况:
- 获得医疗保健仍然是一个挑战,特别是在社会弱势群体.
- 这些人群经常面临护理障碍,导致急诊室 (ED) 的使用增加,包括非紧急情况.
研究的目的:
- 研究非紧急儿科急诊室 (ED) 陈述与城市环境中的社会经济环境之间的关联.
- 确定导致弱势家庭儿童过度使用ED的因素.
主要方法:
- 一项回顾性多中心研究分析了从2017年到2021年在巴黎大都会地区超过150万名儿科ED访问.
- 在市级的生态变量,包括社会贫困指数和通用医生的访问,被用来评估社会经济地位.
- 一个多层次的物流模型检查了非紧急急救访问和社会经济因素之间的联系,根据患者和时间特征进行调整.
主要成果:
- 在所有分析的儿科ED诊所中,非紧急诊所占比超过51%.
- 居住在贫困地区,单亲家庭比例较高,或居住在ED附近的儿童,患非紧急病的风险明显更高.
- 在紧急 (18.8%) 和非紧急 (2.1%) 介绍之间,录取率有很大差异.
结论:
- 来自贫困城市地区的儿童面临着利用急诊室非紧急医疗需求的高风险.
- 调查结果强调了社会经济环境对寻求医疗保健行为的影响,并强调了需要有针对性的干预措施,以改善弱势群体获得初级保健的机会.
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