紧急护理,住院率和洪水
Zachary S Wettstein1, Canada Parrish1, Amber K Sabbatini1
1Department of Emergency Medicine, School of Medicine, University of Washington, Seattle.
洪水显著增加了老年人中的急诊室访问和住院,导致医疗保健成本大幅增加. 这凸显了加强对灾害的准备和针对弱势群体的公共卫生战略的需要.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 洪水是一个日益严重的环境危险,气候变化加剧了它,造成了严重的健康和经济风险.
- 老年人特别容易受到洪水对健康的影响,但全面分析是有限的.
研究的目的:
- 为了评估在美国洪水暴露后的医疗保险受益人中罹病率和相关的医疗保健支出.
主要方法:
- 一项回顾性队列研究分析了65岁以上的医疗保险受益者,他们在2008-2017年间接触过洪水.
- 紧急部门 (ED) 的访问和住院情况在洪水前和洪水后使用条件固定效应回归进行了比较.
- 医疗保健费用计算并标准化为2017年美元.
主要成果:
- 洪水暴露与所有原因的急救诊所增加了4.8%,住院病例增加了7.4%.
- 美国国家医疗保险 (National Medicare) 对洪水相关的急救诊所和住院费用估计分别超过690亿美元和1910亿美元.
- 在85岁以上的成年人中观察到更大的影响,并指出了特定的季节性模式.
结论:
- 洪水暴露与老年人医疗保健利用率和成本的增加有关,强调需要有针对性的公共卫生干预措施.
- 研究结果强调了灾难准备和气候变化适应力规划对医疗保健系统的重要性.
- 这项研究提供了关于洪水带来的与健康有关的经济负担的关键数据,为未来的政策和资源分配提供了信息.
更多相关视频
06:59A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
相关概念视频
Applications of GIS: Disaster Management and Emergency Response
Design Example: Analyzing Capacity Contours for Flood Risk Assessment
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Hospitals-I
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
