在城市创伤系统中获得护理的公平
Allan E Stolarski1, Sophia M Smith1, Michael Poulson2
1Department of Surgery, Boston Medical Center, Boston University, Boston, Massachusetts.
The Journal of surgical research
|August 10, 2025
概括
非白人人口较多的社区面临更长的运输时间到创伤中心. 收入和种族对获得关键的医院前护理有重大影响,突出了紧急医疗服务的差异.
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
- 城市规划 城市规划
背景情况:
- 医院前运输时间 (TT) 对于创伤生存至关重要.
- 评估细微的城市社区层面对创伤中心的准入是必不可少的.
研究的目的:
- 评估不同城市社区中医院前运输时间到创伤中心的差异.
- 确定与创伤中心准入变化相关的人口和社会经济因素.
主要方法:
- 在区组 (BG) 层面使用了2020年十年人口普查数据.
- 计算了BG中心,并使用历史交通数据的网络分析来预测到最近的创伤中心的运输时间 (TT).
- 分析了TT与人口 (种族/族裔) 和社会经济 (家庭收入,公共援助) 因素之间的关联.
主要成果:
- 在波士顿,566个区块组 (BG) 中,有97%符合纳入标准,代表了675,647个人.
- 黑人和西班牙裔人口较多的社区经历了显著增加的TT.
- 大多数白人社区的TTs几乎是大多数黑人社区的一半 (8.8分钟对15.6分钟).
- 家庭收入下降与TT增加相关,除了最低收入四分位数.
- 公共援助与TT没有显著的关联.
结论:
- 那些非白人人口较多的社区,对创伤护理的机会较少.
- 家庭收入与TT有关,但其他贫困指标可能不相关.
- 在城市创伤中心接入方面存在显著的种族和社会经济差异,影响了医院前护理的提供.
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