紧急情况部门等待时间根据种族,种族和语言进行紧急评估:单中心回顾性研究
Jossie A Carreras Tartak1, Anne V Grossestreuer1, David Chiu1
1Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts.
The western journal of emergency medicine
|November 5, 2025
概括
黑人,西班牙裔和非英语患者面临更长的急诊室等待时间和治疗延迟. 这些差异凸显了ED分拣过程中的紧急评估触发器和优先评估中的潜在偏见.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 紧急医疗 紧急医疗
背景情况:
- 在急诊室 (ED) 护理中存在种族,种族和语言差异.
- 认定为黑人或西班牙裔的患者,以及那些英语以外的首选语言患者,经历了更长的ED等待时间和治疗延迟.
研究的目的:
- 为了评估基于种族,种族和语言的差异在急诊室 (ED) 等待时间.
- 评估时间到医生和医生到决策时间的差异.
- 检查客观紧急评估 (触发因素) 与主观紧急评估 (优先级评估) 的差异.
主要方法:
- 从2021年7月到2023年6月的93,728次急诊室 (ED) 访问的回顾性研究.
- 分析电子健康记录数据以比较等待时间和评估类型.
- 逻辑回归控制年龄,紧急严重性指数和性别以确定差异.
主要成果:
- 黑人和西班牙裔患者,以及那些喜欢非英语语言的患者,与白人和喜欢英语的患者相比,经历了更长的中位数时间去看医生和医生做决定.
- 黑人患者的客观紧急评估触发器被激活的可能性较小.
- 与白人患者相比,黑人,西班牙裔和非英语偏好患者主观优先级评估激活的可能性较低.
结论:
- 黑人,西班牙裔和非英语患者的急诊部 (ED) 护理存在显著的延误.
- 客观和主观紧急评估的激活情况存在差异.
- 需要额外的机制来缓解ED分拣过程中的偏见,以确保公平的护理.
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