在加拿大太华使用虚拟儿科急诊室的差异
Habeeb Alsaeed1,2, Maala Bhatt1,2, Ewa Sucha3
1Children's Hospital of Eastern Ontario (CHEO), Department of Pediatrics, Division of Emergency Medicine, Ottawa, Ontario.
Paediatrics & child health
|August 4, 2025
概括
在更多边缘化社区,虚拟儿科急诊室 (ED) 的使用率较低. 更富裕,更不多样化的地区显示了更高的虚拟ED访问,这表明在护理方面存在潜在的不平等.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科急救医学 儿科急救医学
- 健康 公平 卫生 公平
背景情况:
- 虚拟护理有可能改善儿童急诊室 (ED) 的准入.
- 在各种社会经济和人口群体中,平等地获得虚拟儿科ED服务仍然没有得到审查.
研究的目的:
- 为了比较在不同程度的边缘化社区中使用虚拟儿科ED服务的情况.
- 根据社会经济因素,识别基于虚拟儿科护理的潜在差异.
主要方法:
- 在太华,安大略省 (五月至2020年12月) 的社区 (传播区域) 分析虚拟ED访问的横截面研究.
- 主要结果:在安大略省边缘化指数 (物质剥夺,种族集中,居住不稳定,依赖) 的五分之一中,虚拟ED访问的发病率比率 (IRR).
- 负二项回归调整为距离第三级护理儿科医院的距离.
主要成果:
- 在物质剥夺较高的社区观察到虚拟儿科ED访问的更低的调整后IRR.
- 与较不多样化的地区相比,更多的种族集中社区显示虚拟ED访问率较低.
- 虚拟ED访问率因居住不稳定程度而异,但依赖程度不同.
结论:
- 在更多边缘化社区,特别是那些物质剥夺和种族集中度较高的社区,虚拟儿科ED访问的频率较低.
- 调查结果表明,虚拟护理虽然有助于获取,但可能不会在所有患者群体中均分布.
- 医疗保健系统必须解决边缘化社区虚拟护理获取障碍,以确保公平的服务提供.
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