在虚拟紧急护理访问之后的儿科紧急转移
Ji Won Kim1, David Hancock2, Deborah Levine1
1Department of Emergency Medicine, Division of Pediatric Emergency Medicine.
流行后的虚拟紧急护理 (VUC) 显示,急救部门 (ED) 的转诊率很低. 然而,差异仍然存在,Medicaid患者更有可能自行转介到ED,但入院率较低.
科学领域:
- 儿科健康 儿科健康
- 数字健康数字健康
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- COVID-19大流行加速了远程医疗的采用,包括虚拟紧急护理 (VUC),旨在改善医疗保健的获取和减少非紧急紧急情况 (ED) 部门的访问.
- 了解大流行后儿童群体的VUC利用率对于优化其作为可访问医疗保健资源的作用至关重要.
研究的目的:
- 描述流行后儿童使用虚拟紧急护理 (VUC) 的情况.
- 确定儿科患者的VUC至急诊部 (ED) 转诊率和相关结果.
- 确定影响VUC利用和推模式的人口因素.
主要方法:
- 一项回顾性队列研究分析了从2021年3月到2023年2月的4676次儿科VUC访问.
- 数据包括患者人口统计,VUC转诊状态 (医生转诊与自我转诊),ED护理和处置.
- 使用后勤回归来检查与VUC-to-ED转诊相关的因素.
主要成果:
- 偏爱英语的患者,非西班牙裔患者和有商业保险的患者更有可能完成VUC访问 (72%).
- 从VUC到ED的医生转诊发生在5.9%的病例中,入院率为19%;5%的医生自行转诊到ED,入院率为6%.
- 医疗补助保险与自我推的VUC-to-ED访问的几率增加了两倍,尽管入院率较低.
结论:
- 流行后的VUC显示,儿科患者的ED转诊率很低.
- 在VUC利用方面存在持续的差异,特别是在医疗补助计划的患者中.
- 需要进一步的研究,以提高VUC可访问性和儿童医疗保健中的公平性.
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