种族,民族和语言与Undertriage的关联 在儿科急诊医学中
Deena Berkowitz1, Nichole L McCollum1, James M Chamberlain1
1Division of Emergency Medicine, Children's National Hospital, Washington, DC, United States of America; The George Washington University School of Medicine and Health Sciences, Washington, DC, United States of America.
The American journal of emergency medicine
|July 24, 2025
概括
在白人,西班牙裔和非英语患者中,儿科低分泌率更为常见,与之前关于紧急护理差异的研究形成鲜明对比. 对这些复杂因素的进一步调查至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 健康差距 研究 研究 研究 研究
- 儿科创伤护理 儿童创伤护理
背景情况:
- 紧急医学的不足延迟了重症监护.
- 儿科低治的差异没有得到充分的研究.
- 了解这些差异对于公平的患者结果至关重要.
研究的目的:
- 调查少数群体是否在儿科紧急护理中经历了较高的低治率.
- 确定与低分类相关的特定人口因素.
主要方法:
- 一项队列研究分析了1级儿科创伤和区域转诊中心的儿科患者访问情况.
- 使用修改后的Delphi方法 (ESI分数为4-5与特定干预措施) 定义了临床重要不足.
- 暴露包括患者的种族,种族和护理人员的语言偏好.
主要成果:
- 与非西班牙裔黑人患者相比,非西班牙裔白人患者的低试验率更高 (aOR 2.1).
- 西班牙裔患者也比非西班牙裔黑人患者 (aOR 1.7) 增加了低试验率的几率.
- 患者/护理人员更喜欢西班牙语或其他非英语语言的患者/护理人员面临更高的低率 (aOR 1.6 和 1.5).
结论:
- 这些发现挑战了先前的研究,表明黑人患者患有低分辨率的风险最高.
- 结果强调了医疗保健差异的复杂和多方面的性质.
- 进一步的研究对于对不公平护理驱动因素的细微了解至关重要.
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