在儿科ED中,社会需求和推偏好的语言和人口差异
Natalie J Tedford1, Tala Mujahed2, Isabel K Taylor2
1University of Wisconsin School of Medicine & Public Health, BerbeeWalsh Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Madison, WI, USA; University of Utah School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Salt Lake City, UT, USA.
在未满足的社会需求 (USN) 和对社区资源中心 (CRC) 转介的兴趣中存在差异,在儿科急诊室 (PED) 的护理人员中存在差异. 解决这些差距需要在文化上做出响应性干预,以改善健康公平.
科学领域:
- 儿科急救医学 儿科急救医学
- 健康 公平 研究 健康 公平 研究
- 健康的社会决定因素
背景情况:
- 未满足的社会需求 (USNs) 显著影响儿科健康结果.
- 社区资源中心 (CRC) 的推可以解决USN,但可能有不同的吸收.
- 了解USN和转介兴趣的差异对于有针对性的干预至关重要.
研究的目的:
- 检查儿科急诊部 (PED) 中USN和护理人员对CRC转诊的兴趣差异.
- 专注于基于语言偏好,保险状况和种族/种族的变化.
- 为了确定护理人员对CRC推感兴趣的预测因素.
主要方法:
- 一项使用前性有效性研究的行政数据进行的观察性研究.
- 招聘英语和西班牙语的护理人员的儿科患者在四级护理PED.
- 使用社会需求选器 (p-SINCERE) 和 211Utah 的选择性转介,收集人口统计数据.
主要成果:
- 与英语 (47.2%) 护理人员相比,西班牙语 (78.3%) 护理人员的USN患病率更高.
- 在西班牙语 (53.3%) 护理人员中,对CRC推的兴趣明显更高.
- 西班牙语偏好,公共/无保险,西班牙裔种族和非白人种族预测了更大的转介兴趣.
结论:
- 在PED的语言,保险和种族/种族群体之间存在USN和CRC转介兴趣的显著差异.
- 在识别USN和护理人员对资源推的兴趣之间存在着显著的差距.
- 文化敏感的干预措施和系统层面的策略对于促进PEDs的健康平等至关重要.
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