在历史上被红线划分的区域内快速获得紧急医疗服务
Cherisse Berry1, Joseph Obiajulu2, N Clay Mann3
1Department of Surgery, Rutgers Health, New Jersey Medical School, Newark.
历史上被红线划分的社区,特别是那些被评为D的社区,在与历史上理想的地区 (A级) 相比,在快速紧急医疗服务 (EMS) 访问方面显示出显著的差异. 这些发现凸显了医院前护理中的结构性不平等,需要进行战略干预.
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:
- 快速获得紧急医疗服务 (EMS) 的不平等是医院前护理的关键缺口.
- 对EMS反应的延迟与死亡率的增加以及在历史上被红线划分的地区的已知差异有关.
研究的目的:
- 评估美国历史上红线划定区域与快速EMS访问 (定义为≤5分钟响应时间) 之间的关联.
主要方法:
- 追溯性,横截面研究分析EMS中心的地理分布与2020年美国人口普查区组和房屋所有者贷款公司 (HOLC) 等级 (A-D) 相比.
- 包括236个美国城市的红线数据;分析了从人口加权区块组中心到5分钟的行车时间.
主要成果:
- 在分析的城市中,超过5%的人口缺乏快速的EMS接入.
- 与A级地区相比,历史上红线划分的地区 (D级) 的居民没有快速EMS接入的比例明显高 (7.06%对4.36%).
- 与A级地区相比,D级地区缺乏快速EMS接入的几率是1.67倍,非西班牙裔黑人居民的比例更高,人口密度更高.
结论:
- 快速获得EMS的结构差异与历史上红线划分的区域有很大关系.
- 战略性资源配置和系统重新设计对于解决这些医院前护理不平等至关重要.
更多相关视频
09:55Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
06:59A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
相关概念视频
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Standards of Care I
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Applications of GIS: Disaster Management and Emergency Response
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Introduction Cardiac Emergencies
