紧急护理中心的可访问性:社会经济和地理空间评估
Parnika Telagi1, Richard Sadler2, Praval Telagi3
1Medical College of Wisconsin, Milwaukee, Wisconsin.
The western journal of emergency medicine
|November 5, 2025
概括
密尔沃基县的急救中心 (UC) 和急救部门 (ED) 在可访问性方面存在差异. 社会经济弱势群体面临着更大的交通障碍,可能会增加非新兴ED使用.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 地理空间分析是什么
背景情况:
- 紧急护理中心 (UC) 为非紧急护理提供了紧急部门 (ED) 的替代方案.
- 由于交通和社会经济因素,UCs的可访问性受到限制.
- 地理空间分析可以揭示医疗保健获得的差异.
研究的目的:
- 评估密尔沃基县的UC和ED的地理空间可访问性.
- 分析过境选择,社会经济脆弱性和获得护理的机会之间的关系.
- 了解影响医疗保健寻求行为因素.
主要方法:
- 包括密尔沃基县的13个ED和13个UC.
- 使用谷歌地图API计算公共和私人运输时间.
- 利用社会经济脆弱性指数 (SEVI) 的得分来评估社区的脆弱性.
- 使用曼-惠特尼U测试和皮尔森相关系数进行统计分析.
主要成果:
- 对于ED和UC,私人运输时间比公共运输时间短.
- 在运输和步行时间方面,EDs表现出比UCs更大的可访问性.
- 较高的SEVI分数与较长的私人运输时间到UC和较短的公共运输时间到ED相关.
结论:
- 医疗保健对UC和ED的访问受到交通和社会经济地位的重大影响.
- 对于社会经济弱势群体来说,EDs比UCs更容易获得.
- 交通障碍可能会导致非新兴的ED使用,强调需要解决健康的社会决定因素.
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