在怀孕期间通过医疗补助类型的急诊室使用
Alyssa R Hersh1, Ann Martinez Acevedo2, Ava Mandelbaum3
1Department of Obstetrics & Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Pkwy, Portland, OR, 97239, USA. hersha@ohsu.edu.
BMC pregnancy and childbirth
|March 18, 2025
概括
传统医疗补助计划的孕妇比紧急医疗补助计划的孕妇更频繁地使用急诊室 (ED). 这项研究强调了不同类型的医疗补助计划的孕妇在获得医疗保健方面的差异.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在有医疗补助计划的孕妇中,急诊室 (ED) 的使用普遍存在.
- 了解基于医疗补助类型的ED使用差异,特别是限制门诊患者访问的紧急医疗补助,至关重要.
研究的目的:
- 为了比较在怀孕期间的ED使用在紧急医疗补助和传统医疗补助的个人之间.
- 检查与ED使用模式相关的怀孕结果.
主要方法:
- 南卡罗来纳州 (2010-2019) 医疗补助分娩的回顾性队列研究.
- 主要结局:怀孕期间的ED访问. 二次结果:访问频率,围产期结果和医疗费用.
- 基于医疗补助类型的比较:紧急医疗补助与紧急医疗补助. 传统的医疗补助.
主要成果:
- 分析包括了240,597个出生.
- 与紧急医疗补助 (22.7%) 相比,传统医疗补助患者中至少有一次ED访问的比例较高 (58.2%).
- 患有ED诊所的患者更有可能是年轻的,黑人,农村,无卵性,有不同的BMI和先前存在的并发症.
结论:
- 接受传统医疗补助的个人比接受紧急医疗补助的人更有可能进行产前急诊.
- 研究结果表明,在怀孕期间医疗补助保险类型的基础上,医疗保健的获取和利用率存在差异.
更多相关视频
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
403
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
403
Standards of Care I
662
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
662
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
208
Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
208
Specialized Care Centers and Settings-II
690
Rural Health Centers
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...
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...
690
Methods of Documentation VII: EMR
821
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
821
Teratogenicity
2.3K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.3K


