与对照组相比,难民儿童使用紧急护理:全州数据库分析分析
Anna H Abrams1, Jan Leonard2, Sarah E Brewer3,4
1Section of Emergency Medicine, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Children's Hospital Colorado, Aurora, Colorado, United States of America.
PloS one
|February 6, 2025
概括
与普通人口相比,难民儿童的急救部门 (ED) 索赔比例较高,尽管访问的复杂性相似. 这表明难民儿童中ED使用率增加,需要进一步调查医疗保健准入和差异.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 难民儿童在重新安置后面临着持续获得初级医疗保健的重大障碍.
- 获得初级保健的限制可能会导致人们越来越依赖急诊室 (ED) 服务.
- 了解难民儿童的紧急护理使用模式对于有针对性的干预至关重要.
研究的目的:
- 为了比较难民儿童和一般人口控制之间的ED索赔比例.
- 评估这些群体之间的ED访问中位数服务水平 (LOS) 的差异.
- 分析儿童难民人口的紧急护理获取模式.
主要方法:
- 使用全州索赔数据库 (2014-2019) 的回顾性队列研究.
- 通过确定性链接识别难民儿童;分析医疗索赔 (ED与门诊).
- 使用千平方测试比较人口统计,索赔频率 (每1000例ED索赔) 和中位数LOS.
主要成果:
- 与一般人口对照相比,难民儿童中ED索赔的比例明显高于一般人口对照 (244 vs 221 / 1000索赔,p=0.001).
- 在这两组之间,对于ED访问的服务水平 (LOS) 中位数没有显著差异.
- 这表明难民儿童在所有敏度水平上使用ED的比例更高.
结论:
- 难民儿童的急诊室使用率高于一般人口中的同龄人.
- 类似的服务水平 (LOS) 表明,ED使用的增加不仅仅是复杂的条件.
- 需要进一步的研究来探索医疗保健差异,并为难民儿童开发有针对性的支持服务.
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