在老年无证移民中检查急诊室利用率和住院情况:来自初级保健县计划的见解
Alein Y Haro-Ramos1, Sarah Axeen2,3, Anna R Gorman4
1Department of Health, Society, and Behavior, UC Irvine Joe C. Wen School of Population & Public Health, University of California, Irvine, California 92617, USA.
The Gerontologist
|February 3, 2025
概括
年长的无证移民,即使是那些在我的健康LA (MHLA),急诊室 (ED) 的入院人数比有证件的移民少. 医疗保健计划应该为所有移民提供服务,以改善健康结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 移民 卫生 移民 卫生
背景情况:
- 对于无证移民来说,获得预防护理的限制可能会随着年龄的增长而增加医疗保健需求和急诊室 (ED) 使用率.
- 像我的健康LA (MHLA) 这样的县计划为洛杉矶县 (LAC) 的老年无证成年人提供初级保健.
- 了解老年移民中ED访问和住院的法律地位差异至关重要.
研究的目的:
- 为了比较LAC老年移民患者中因ED而入院的可能性的法律地位差异.
- 在无证件 (MHLA和非MHLA) 和有证件的患者中检查ED访问和住院的顶级诊断类别.
主要方法:
- 从2016年至2020年在LAC的3家安全网医院进行了239,861次ED遭遇的回顾性分析.
- 纳入标准:50岁以上的移民患者.
- 多变量混合效应模型评估了法律地位与ED引起的入院率之间的关系.
主要成果:
- 没有证件的患者 (MHLA参与者:OR=0.75;非MHLA:OR=0.88) 与有证件的患者相比,从ED入院的可能性较小.
- 治疗和释放和ED引起的入院的主要临床原因在无证移民和有证件的移民之间是相似的.
- 在MHLA注册的老年无证患者在ED访问后入院的几率降低.
结论:
- 老年无证患者,特别是MHLA患者,在急救诊所访问后入院率较低.
- 医疗保健计划应该包括有证件和无证件的患者,以提高所有移民社区的健康结果.
- 调查结果强调了为弱势移民群体提供可访问的初级保健计划的重要性.
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