增加非英语语言偏好的患者提供时间:回顾性队列研究
Asmaa Rimawi1, Anne Sung1, Morgan Pike1
1Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Journal of the American College of Emergency Physicians open
|September 10, 2025
概括
患有非英语语言偏好 (NELP) 的患者在急诊室 (ED) 经历了更长的提供者时间 (TTP). 这种延迟在ED拥挤和夜间时间加剧,影响了护理准入.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
- 健康 公平 卫生 公平
背景情况:
- 及时获得医疗保健至关重要,特别是在紧急情况下.
- 患有非英语语言偏好 (NELP) 的患者在医疗保健提供中可能面临独特的障碍.
- 了解急诊室 (ED) 护理中的差异对于改善患者的治疗结果至关重要.
研究的目的:
- 评估非英语语言偏好 (NELP) 与英语语言偏好 (ELP) 的患者的提供者 (TTP) 时间.
- 调查ED拥挤和夜间时间对NELP患者TTP的影响.
主要方法:
- 2019年至2023年间成年ED访问的回顾性队列研究.
- 一个两步分类从注册数据和分拣笔记中识别了NELP.
- 在不同条件下,在NELP (分量注释识别和未识别) 和ELP组中比较TTP.
主要成果:
- 与ELP患者 (11分钟) 相比,NELP患者的TTP中位数较长 (13-15分钟).
- 被鉴定为NELP患者的分离笔记经历了最长的延迟.
- 在ED拥挤和夜间期间,所有组的TTP显著增加,特别是NELP患者.
结论:
- 患有NELP的患者在ED护理中面临显著的延迟,特别是当他们的语言需求得到记录时.
- ED拥挤和夜间加剧了这些延迟,突出了护理方面的潜在不平等.
- 为了确保公平的紧急护理,需要制定减轻NELP患者TTP差异的策略.
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