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医院暴力干预计划对住院后服务的影响:第一年经验
Amir Ebadinejad1, Juan P Cobar, Ashley Weisse
1Author Affiliations: Department of Surgery, Hartford Hospital, Hartford, Connecticut (Dr Ebadinejad, Ms Larosiliere, Mr Frani, Drs Gates, Lissauer, and Keating); Department of Surgery, University of Connecticut, Hartford, Connecticut (Cobar, Gates, Lissauer, and Keating); Hospital Violence Intervention Program, Hartford Hospital, Hartford, Connecticut (Weisse); and Department of Research, Hartford HealthCare System, Hartford, Connecticut (Li).
基于医院的暴力干预计划 (HVIP) 可能会增加穿透伤害患者的住院后服务使用率. 需要进一步的研究来证实HVIP对健康公平的积极影响.
科学领域:
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医院暴力干预计划 (HVIPs) 已被证明可以减少重复犯罪并改善患者的治疗结果.
- 对于穿透性伤害患者的住院后服务利用,HVIPs对HVIPs的影响仍未得到充分研究.
研究的目的:
- 评估HVIP对患者入院后使用服务的影响.
- 确定影响该患者群体服务利用的因素.
主要方法:
- 一个城市学术I级创伤中心的回顾性队列研究.
- 对枪伤或刺伤患者的住院后服务利用率 (住院康复,家庭卫生) 的评估.
- 使用曼-惠特尼U,奇方/费舍尔的精确测试,以及多变量后勤回归进行分析.
主要成果:
- 与非HVIP患者 (n=130,9.2%,p=.002) 相比,HVIP患者 (n=62) 的住院后服务利用率较高 (25.8%).
- HVIP患者更年轻,更有可能有枪伤,并且受伤严重程度得分更高.
- 医院入院,西班牙裔种族,以及较高的伤害严重程度得分预测了服务利用率.
结论:
- 透伤害患者的HVIP可以提高住院后服务利用率.
- 在创伤护理中,HVIP显示出促进健康公平的潜力.
- 建议进行更大规模的研究来验证这些发现.
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