美国西班牙裔患者安全网的初级保健互动和ER使用
Elena A Platonova1, Xi Ning2, Yinghao Pan1
1University of North Carolina at Charlotte, USA.
Journal of primary care & community health
|October 18, 2025
概括
与初级保健提供者的有效沟通可能会减少西班牙裔患者的急诊室 (ER) 访问. 建立一个稳定的医疗中心和确保护理的连续性是改善适当ER利用的关键.
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
- 主要护理是指初级护理.
背景情况:
- 减少不适当的急诊室 (ER) 访问是医疗保健管理的一个关键目标.
- 西班牙裔患者的急救诊所访问率很高,可以避免,但研究有限.
- 有效的供应商沟通与适当的ER利用有关.
研究的目的:
- 调查安全网初级保健提供者与西班牙裔患者的沟通及其ER使用之间的联系.
- 了解影响西班牙裔人口在初级保健机构ER利用的因素.
主要方法:
- 利用了2022年卫生中心患者调查数据.
- 雇佣患者报告的沟通和医疗保健提供者和系统 (CAHPS) 的消费者评估项目作为预测因素.
- 分析了患者报告的ER访问,使用二进制后勤回归.
主要成果:
- 医疗中心使用时间较长与急救诊所访问的几率显著降低 (44%-46%).
- 发起健康对话的患者在急诊室访问的几率提高了55%.
- 更健康的患者,女性,保险患者和经常访问患者与ER使用的相关性各不相同.
结论:
- 初级保健连续性和稳定的医疗家庭可能会减少急救室的使用.
- 有效的患者-提供者互动对于优化ER利用至关重要.
- 需要进一步的研究才能充分了解西班牙裔患者在ER使用的细微差别.
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