创伤护理中的刑事化:国家创伤登记处根据居住状态进行分析
Caleb W Curry1, Pooja Podugu2, Marisa R Imbroane1
1School of Medicine, Case Western Reserve University, Cleveland, United States.
Journal of immigrant and minority health
|December 9, 2025
概括
边缘化的创伤患者,特别是无家可归和无证件的个人,面临着更高的刑事司法系统参与. 这种参与,特别是对系统的释放,大大缩短了住院时间,引发了对护理差异的担忧.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 创伤护理 创伤护理
背景情况:
- 与刑事司法系统的接触对边缘化人口产生了不成比例的影响,可能会破坏对医疗保健的信任.
- 有限的国家数据存在于执法人员参与创伤患者的护理.
研究的目的:
- 根据住房状况,评估边缘化创伤患者在刑事司法系统参与方面的差异.
- 估计刑事司法系统参与对患者护理的影响,特别是住院时间.
主要方法:
- 从创伤质量计划 (TQP) 数据库中使用创伤登记数据 (2021-2022) 进行横截面回顾性研究.
- 包括住房,无住房和移民/无证成年创伤患者.
- 刑事司法系统的参与被定义为医院前的警察运输或向法庭/执法部门的释放.
主要成果:
- 与住房患者相比,没有住房的患者的警察运输几率较低,但刑事司法系统释放的几率较高.
- 与住院患者相比,移民/无证患者的警察运输和刑事司法系统释放的几率明显高.
- 刑事司法系统的出院与住院时间的缩短有关,特别是对于移民/无证患者.
结论:
- 创伤经历可以成为无家可归和移民/无证人员进入刑事司法系统的关键入口.
- 刑事司法系统的参与似乎缩短了住院时间,这表明在创伤护理中存在潜在的不平等.
- 需要进一步的研究来解决这些差异,并确保所有创伤患者得到公平的护理.
相关概念视频
Post-traumatic Stress Disorder
448
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
448
Traumatic Memory
519
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
519
Standards of Care I
1.0K
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
1.0K
Types of Reports II: Incident or Occurrence Report
1.2K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.2K
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K


