伤害后的住房状况和纵向护理模式
Hannah Decker1, Jennifer Evans2, Dave Graham Squire2
1Department of Surgery, University of California, San Francisco, San Francisco, CA.
Annals of emergency medicine
|May 7, 2025
概括
无家可归者在受伤后的12个月内,与住房人士相比,无家可归者在受伤后的12个月内使用医疗保健的次数显著增加,包括急诊室访问和心理健康接触. 这凸显了弱势群体受伤后护理的严重差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 创伤护理 创伤护理
- 健康差异 在健康上的差异
背景情况:
- 伤害是无家可归者住院的主要原因之一.
- 这一群人的伤害后医疗保健利用模式仍未得到充分研究.
研究的目的:
- 为了比较无家可归者和住房,低收入的医疗补助受益者在受伤后12个月的医疗保健使用情况.
- 为了识别紧急诊所访问,住院,门诊访问和心理健康遭遇的模式.
主要方法:
- 旧金山受伤的医疗补助受益人的回顾性队列研究 (2015-2022).
- 伤害时的住房状况通过创伤登记和协调护理管理系统联系在一起.
- 调整为人口,临床,伤害和伤害前护理变量.
主要成果:
- 在5998名受伤者中,有32.9%的人无家可归.
- 经历无家可归的人在受伤后的急诊室访问中出现了较大的调整后增加,而不是住房的个人 (P<.001).
- 这种增加的利用范围扩展到住院住院,门诊和心理健康接触,持续超过受伤前的水平12个月.
结论:
- 伤害后的12个月与无家可归者在医疗保健部门的利用率较高,相比于他们的住房同行.
- 对于弱势群体来说,在伤害后护理的获取和利用方面存在显著的差异.
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