儿科急诊室的差异 根据疾病过程,在7天内重新访问儿童急诊室
Sagar D Mehta1,2,3, Chris A Rees1,2,3, Swaminathan Kandaswamy1
1Department of Pediatrics, Emory University School of Medicine.
Pediatric emergency care
|April 21, 2025
概括
在急诊室 (ED) 的再访中,种族和民族差异很大,特别是在西班牙裔和黑人/非裔美国儿童中. 针对特定疾病和上游社会决定因素的有针对性的干预措施对于减少这些ED重新审视差异至关重要.
科学领域:
- 儿科急救医学 儿科急救医学
- 健康差距 研究 研究 研究 研究
- 公共卫生 公共卫生
背景情况:
- 紧急部门 (ED) 的重新访问是医疗保健质量和获得的关键指标.
- 在各种患者人口统计学中,医疗保健获取和结果的差异仍然存在.
- 了解特定疾病的复查模式对于有针对性的质量改进举措至关重要.
研究的目的:
- 为了确定与急诊室 (ED) 相关的特定疾病过程的最高率,重新审视差异.
- 分析这些差异跨种族,种族,语言,保险状况和童年机会指数.
- 为制定有针对性的干预措施提供信息,以减少医疗保健不平等.
主要方法:
- 儿科ED遭遇的回顾性,横截面研究 (0-18岁) 在家出院.
- 在一个大型儿科卫生系统中,从2018年到2022年分析了超过100万次ED访问.
- 多变量后勤回归用于评估与7天ED重访相关的因素.
主要成果:
- 总体而言,5.2%的儿科ED遭遇导致在7天内再次访问.
- 黑人/非裔美国人,多种族和西班牙裔患者,以及那些有公共保险的人,ED复诊的几率明显更高.
- 西班牙裔患者的复诊差异集中在耳鼻喉/牙科/口腔疾病中,而黑人/非洲裔美国患者的差异在诊断中更为普遍.
结论:
- 针对疾病的具体干预措施是必要的,以解决ED的差异.
- 解决健康的上游社会决定因素对于减少风险较高,少数群体的再访至关重要.
- 减少ED复查差异需要采取多方面的方法,重点关注临床和社会因素.
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