常规临床医生的存在与急诊室重访之间的关联
Doreen S Agboh1, Arjun K Venkatesh1,2, Yixuan Liang3
1Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Journal of the American Geriatrics Society
|September 12, 2025
概括
常见临床医生的老年人对于门诊护理敏感条件 (ACSCs) 的急诊室 (ED) 访问率相似. 然而,与通常的临床医生见面,降低了30天ED重访的可能性.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 在老年人中,急诊室 (ED) 访问率正在上升.
- 门诊护理敏感条件 (ACSCs) 对这些急救诊所的访问有很大的贡献.
- 接触常见的临床医生可能会影响ED的利用和结果.
研究的目的:
- 在老年人中为ACSCs进行ED访问的特征.
- 为了比较与ACSC相关的ED访问与通常的临床医生和没有临床医生的访问.
- 根据通常的临床医生状态,检查老年人所有原因的30天ED复诊.
主要方法:
- 对医疗保险当前受益者调查 (MCBS) 数据 (2015-2020) 的综合横截面分析.
- 倾向性得分匹配比较了老年人与或没有通常的临床医生.
- 主要结果:与ACSC相关的ED访问的比例.
- 二次结果:30天所有原因的ED重访.
主要成果:
- 分析了超过8600万次ED访问,其中92.7%涉及老年人与通常的临床医生.
- 与 ACSC 相关的 ED 访问在与常规临床医生 (14.8% vs 14.7%) 和没有常规临床医生的访问之间没有显著差异.
- 常见临床医生的老年人有较低的30天ED复诊比例 (25.6%vs35.9%).
结论:
- 老年人中ACSC的ED访问是相似的,无论他们是否有常规的临床医生.
- 有一个常见的临床医生与30天ED重访的可能性降低有关.
- 通常的临床医生可能在预防老年人群中复发性ED利用方面发挥作用.
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