根据种族,种族,语言和医疗补助状况的紧急情况部门利用率
Daniel J Berger1, Colin Jenkins2, John Wong-Castillo3
1Virginia Commonwealth University Health System, Departments of Emergency Medicine and Internal Medicine, Richmond, Virginia.
The western journal of emergency medicine
|August 12, 2025
概括
紧急部门 (ED) 的使用因种族,种族和语言偏好而有很大差异. 分散的数据揭示了ED在不同患者群体中使用的细微模式,突出了针对性健康干预的需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 流行病学 流行病学
背景情况:
- 紧急部门 (ED) 的利用受患者人口统计学的影响,包括年龄,性别,种族,种族,语言偏好和保险类型.
- 以前的研究经常汇总数据,可能会掩盖不同种族和种族小组,特别是那些非英语语言偏好 (NELP) 的ED使用的具体差异.
研究的目的:
- 将种族,种族,语言偏好和医疗补助覆盖与ED利用之间的关联分解.
- 在大型健康计划会员中,在各种种族,种族和语言偏好群体中识别ED使用的特定模式.
主要方法:
- 对来自北加州健康计划 (2018-2019) 2,047,105名成年会员 (25-85岁) 电子健康记录数据的横截面分析.
- 按种族,种族,年龄组和语言偏好的ED访问患病率的表格.
- 修改后的日志-波松回归调整为人口因素和医疗补助状态,以评估ED利用的差异.
主要成果:
- 与白人成年人相比,黑人和西班牙裔成年人患ED的可能性更高;中国,越南和南亚成年人患ED的可能性更低.
- 非英语语言偏好 (NELP) 与年轻成年人 (25-64岁) 的ED使用总体较低有关,但这因种族而异,一些群体使用ED更高.
- 与非医疗补助覆盖的个人相比,25-64岁的医疗补助覆盖成年人患急诊的可能性是25倍的,65-85岁的人患急诊的可能性是50%的.
结论:
- 在种族,种族和语言子组之间存在ED使用的显著差异,这强调了分类数据分析的重要性.
- 接受医疗补助的成年人,尤其是65岁以下的成年人,在大多数种族和民族群体中,ED使用率更高.
- 进一步研究推动不同人群使用ED的社会,个人和政策因素对于开发有效的,针对特定人群的健康干预措施至关重要.
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