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住房状况和医疗保健利用在人们呈现的发作
Sandeepa S Mullady1, Andrew J Wood2, Elan L Guterman2,3,4
1Memory Divisions, Department of Neurology, Stanford University, San Francisco, CA, USA.
The Neurohospitalist
|February 17, 2025
概括
患有的无家可归者 (PEH) 更频繁地使用急症护理服务,包括更高的30天再访. 这项研究强调了这一弱势群体在医疗保健利用方面的差异.
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
- 紧急医疗 紧急医疗
背景情况:
- 住房状况是健康的重要社会决定因素.
- 了解弱势群体的医疗保健利用模式对于有针对性的干预至关重要.
- 发作是一种常见的神经疾病,应急诊所都会出现这种情况.
研究的目的:
- 为了调查住房状况和成年人发作时使用医疗保健之间的关联.
- 为了比较无家可归者 (PEH) 和有稳定的住房的人之间的医疗保健利用结果.
主要方法:
- 对成年患者进行了回顾性横截面分析,这些患者在公共医院急诊室出现了发作 (2016-2019).
- 患者被分为PEH和住房组.
- 医疗保健利用结果包括30天的急性护理再访,出院处置和住院时间.
- 多变量回归模型根据年龄,并发症和保险状况进行调整.
主要成果:
- 与住房个人相比,PEH人更年轻,更有可能是有色人种,并且有医疗补助.
- 被录取的PEH有更高的30天再访率 (aOR1.87) 和更低的设施释放率 (aOR0.37).
- 被录取的PEH患者住院时间较短 (系数-12.87).
结论:
- 患有的无家可归者表现出医疗保健利用率的增加,特别是在急性护理再访方面.
- 这些发现强调了需要量身定制的干预措施,以满足 PEH 发作患者的医疗保健需求.
- 进一步的研究应该探索成像,药物和病因学,以了解利用驱动因素.
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