社会脆弱性指数预测在急诊室被"没有被看到"的情况
Maureen Schick1, Nicole Fumo2, Lauren Nickel2
1Medical College of Wisconsin, 8701 W Watertown Plank Rd, Milwaukee 53226, WI, USA.
The American journal of emergency medicine
|June 28, 2025
概括
较高的社会脆弱性指数 (SVI) 评分预测患者离开急诊室 (ED) 而没有被看的可能性增加. 这凸显了弱势群体公平获得紧急护理的潜在障碍.
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
- 健康 公平 卫生 公平
背景情况:
- 紧急诊所 (EDs) 面临的挑战是,患者离开而不见 (LWBS).
- 社会脆弱性是社会经济地位,种族,种族和住房的衡量标准,可能会影响获得医疗保健的机会.
- 社会脆弱性指数 (SVI) 在人口普查区层面量化这些因素.
研究的目的:
- 确定社会脆弱性指数 (SVI) 是否预测了在学术,城市,高等护理ED.中患者"被遗忘" (LWBS) 的可能性.
- 分析整体SVI及其组成主题与LWBS配置之间的关联.
主要方法:
- 一项回顾性队列研究分析了从2022年5月到2023年4月的73,044例患者接触.
- 患者地址被地理编码,以在人口普查系统层面获得SVI数据.
- 后勤回归模型评估了SVI及其主题在LWBS概率上的预测值.
主要成果:
- 在LWBS患者 (5.4%) 中,SVI平均得分明显高于见过患者 (p < 0.001).
- 每增加0.1个单位的SVI与LWBS概率增加7%相关 (p < 0.01).
- 种族和少数民族地位是最强的预测因素,每0.1个单位的SVI增加,LWBS的可能性增加13%.
结论:
- 较高的SVI分数是ED中LWBS的强有力的预测因素.
- 通过SVI,可以识别面临有限紧急护理准入风险的人群.
- 将SVI整合到卫生系统的工作流程中可以改善风险群体的识别,并促进公平的护理.
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