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阿尔伯塔州的第一民族成年女性的急诊室访问:以人口为基础的研究
Elenna LaPlante1, Rhonda J Rosychuk1, Kimberley D Curtin1
1University of Alberta, Edmonton, AB, Canada.
阿尔伯塔的第一民族妇女使用急救部门 (ED) 的频率高于非第一民族妇女. 这突显了文化安全的初级和专业护理的潜在缺口.
科学领域:
- 原住民健康研究
- 紧急医疗
- 医疗服务研究
背景情况:
- 紧急服务部门对于第一民族成员获得医疗保健至关重要.
- 在第一民族患者和非第一民族患者之间存在ED的差异.
- 了解这些差异对于公平的医疗服务至关重要.
研究的目的:
- 量化阿尔伯塔省第一民族和非第一民族成年女性患者之间的ED访问特征.
- 确定与ED的第一民族妇女相关的具体情况和访问模式.
主要方法:
- 对阿尔伯塔省18-54岁女性患者的相关医疗管理数据 (2012-2017) 的分析.
- 包括第一民族识别数据.
- 描述性统计和混合效应建模,以比较群体之间的ED访问特征 (急性,诊断,处置).
主要成果:
- 与非原住民妇女相比,原住民妇女使用ED的比例更高 (中位数为5次) (中位数为2次).
- 更多的第一民族妇女访问导致住院 (6.0%与4.9%相比).
- 在第一民族妇女中,与非特定发现,感染,癌症,产科,药物滥用和心理健康相关的诊断率较高.
结论:
- 调查结果表明,第一民族妇女可能无法获得文化安全的初级和专业护理.
- 这可能会导致人们对社区环境中可管理的情况更加依赖紧急服务部门.
- 提供者需要文化安全的方法, 承认原住民妇女使用ED的根本原因.
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