在文化和语言多样化的群体中,紧急部门的演讲,以首选语言为基础. 新南威尔士州的特点和结果 澳大利亚 澳大利亚
Michael M Dinh1,2, Saartje Berendsen Russell1,2, Michele Fiorentino1,2
1RPA Green Light Institute, Sydney Local Health District, Sydney, New South Wales, Australia.
在文化和语言上不同的人群向急救部门 (ED) 呈现的结果各不相同. 非英语优先语言群体经历了更长的ED停留时间和更高的死亡率,突出了对量身定制的护理策略的需求.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
背景情况:
- 文化和语言多样性 (CALD) 的人口在许多医疗保健系统中代表着重要的人口统计数据.
- 了解CALD患者的医疗保健准入和结果对于健康公平至关重要.
- 首选的语言是CALD状态的关键指标,可以影响医疗保健体验.
研究的目的:
- 调查来自不同文化群体的患者在急诊室 (ED) 的人口统计学,临床特征和结果预测因素.
- 利用首选语言作为识别文化和语言多样性 (CALD) 人口的代理.
- 分析急诊室停留时间和30天全因死亡率与首选语言相关的情况.
主要方法:
- 在澳大利亚新南威尔士州进行了多中心数据链接分析.
- 来自大约180家公共医院的紧急部门数据收集的个人级别数据被链接在一起.
- 评估的结果包括ED逗留时间和30天所有原因死亡率.
主要成果:
- 分析了300多万个ED演示文稿,11%表示非英语优先语言.
- 非英语优先语言组的ED停留时间更长,30天死亡率更高 (2.0%对1.2%).
- 广东语优先使用的语言组显示30天死亡率的风险略微增加 (aOR:1.28).
结论:
- 在非英语优先语言群体中存在显著的人口和临床差异,这些群体呈现给ED.
- 在评估ED访问和结果时,CALD组不应被视为一个单一的实体.
- 需要进一步的研究来探索结果的差异,并谨慎对待未测量的混因素.
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