网络分析,以确定威斯康星州的儿科急性护理区域
Kenneth A Michelson1, Katherine E Remick2, Emily M Bucholz3
1Division of Emergency Medicine, Ann & Robert Lurie Children's Hospital, Chicago, Illinois, USA.
Health services research
|July 2, 2025
概括
通过对威斯康星州儿童医疗保健利用情况的网络分析,开发了新的儿科区域 (PERR). 这些PERR更适合儿科患者的转诊模式,而不是成人地区,这表明儿科医疗保健计划得到了改进.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健中的网络分析
- 儿科医疗保健系统 儿科医疗保健系统
背景情况:
- 确定医疗保健提供最佳地理区域对于资源分配和结果评估至关重要.
- 现有的医疗保健区域通常基于成人使用模式,可能不反映儿科需求.
- 需要采用数据驱动的方法来界定儿科专用服务领域.
研究的目的:
- 试点一个新的系统来导出儿科医疗保健区域.
- 通过使用儿科利用数据,比较这些衍生儿科区域与现有的成人地区的适合性.
- 评估网络分析在确定儿科紧急服务区域 (PESA) 和儿科紧急转诊区域 (PERR) 的有效性.
主要方法:
- 威斯康星州16岁以下儿童急性护理遭遇的横截面研究 (2021-2022年) 使用医疗保健成本和利用计划 (HCUP) 数据.
- 网络分析,特别是社区检测,应用于邮政编码级患者-医院连接,以形成PESA.
- 第二次社区检测代在跨PESA推中定义了PERR,以模块化作为主要适合度量.
主要成果:
- 对587,886次遭遇的分析导致了24个PESA和4个PERR.
- 与医院推区域 (HRRs) (0.46) 相比,PERRs表现出对医院间儿科推模式 (模块化0.53) 的优越适应性.
- PERR显著更大,包括更多的儿童,包括更多的医院,而不是HRR和其他基准地区.
结论:
- 一种网络分析方法成功地推导出了儿科特异性急性护理区域 (PERRs),与威斯康星州儿科利用数据有很强的对齐.
- 这些PERR更适合儿科转诊模式,而不是传统的成年人区域.
- 建议在美国进行进一步的验证,以便在儿科区域之间进行可靠的成本和结果比较.
关键词:
急性护理急性护理急性护理地理 地理 地理 地理.医疗服务研究 医疗服务研究医疗保健服务领域 医疗保健服务领域网络分析 网络分析儿科 儿科 儿科 儿科地区地区地区地区地区地区地区地区地区使用利用利用利用利用利用利用利用利用利用更多相关视频
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