行为应急响应小组提醒单站点儿科医院的差异
Rachel Peterson1,2, Edward Kim3, Angela Amaniampong4
1Department of Pediatrics, Division of Hospital Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Hospital pediatrics
|March 23, 2025
概括
黑人患者在儿童医院的行为应急响应小组 (BERT) 警报率更高. 心理健康诊断和政府保险也与BERT警报的增加和身体限制的使用有关.
科学领域:
- 儿科医院医学 儿科医院医学
- 行为应急响应系统
- 卫生公平和差异 在健康方面.
背景情况:
- 行为应急响应小组 (BERT) 管理精神病紧急情况和冲突.
- 儿科住院病人的BERT警报利用情况没有得到充分的记录.
- 这项研究调查了BERT警报激活的种族差异.
研究的目的:
- 在儿科住院患者中发现BERT警报发生的种族差异.
- 分析与BERT警报激活和物理限制使用相关的因素.
主要方法:
- 从2018年至2020年对住院患者BERT警报进行了回顾性横截面审查.
- 后勤回归分析检查了种族和BERT警报之间的关联.
- 根据年龄,性别,种族,付款人和心理健康诊断 (MHD) 进行调整.
主要成果:
- 黑人患者接收BERT警报的几率明显更高 (aOR 2.1).
- 接受私人保险入院的BERT警报的几率较低 (aOR 0.4).
- 心理健康诊断 (MHD) 与更高的BERT警报和身体克制使用密切相关.
结论:
- 黑人种族,政府保险和MHD在BERT警报中占有不成比例的比例.
- MHD和BERT警报与增加的身体克制使用相关联.
- 调查结果强调了在行为紧急响应方面潜在的种族和社会经济差异.
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