来自非合同保险身份紧急情况部门的互助转账不成比例地影响少数群体患者
Andrew Holzman1, Malik Aaron1, Krish Nayar1
1Alix School of Medicine, Mayo Clinic, Phoenix, Arizona.
The western journal of emergency medicine
|December 11, 2025
概括
少数民族患者,特别是非英语人士和西班牙裔患者,由于来自学术急诊部 (ED) 的保险问题,面临不成比例地更高的设施间转移率. 这凸显了医疗保健获取和患者体验的巨大差异.
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
- 患者转移研究 患者转移研究
背景情况:
- 从急诊室 (ED) 进行的设施间转移会对患者的护理和体验产生重大影响.
- 保险状况是影响患者情绪和获得护理的关键因素.
- 少数群体在获得医疗保健方面的差异需要彻底调查.
研究的目的:
- 确定非合同保险身份的设施间转移是否不成比例地影响学术ED的少数群体患者.
- 量化保险不兼容性对不同社会经济少数群体的转移率的影响.
- 确定受保险驱动转移影响最严重的特定少数群体人口统计.
主要方法:
- 从医院的电子健康记录系统中获取数据,用于设施间的转移.
- 审查了患者记录,以确定具体由于保险合同地位而发生的转移.
- 在西班牙裔,西班牙裔非白人,黑人,美洲原住民和非英语患者群体之间比较保险不兼容的转移率.
主要成果:
- 在735个符合条件的转移中,49.7%是由于保险不兼容.
- 所有被查询的少数民族人口统计数据显示,保险不兼容性转移率增加.
- 与英语 (0.90%) 和非西班牙裔白人 (0.87%) 相比,非英语 (2,06%) 和西班牙裔患者 (1.31%) 经历了最严重的差异.
结论:
- 少数群体,包括非英语使用者和西班牙裔患者,因非合同保险身份的设施间转移而受到不成比例的影响.
- 保险不兼容是学术急救部门不同转移率的重要驱动因素.
- 解决与保险相关的转移差异对于改善健康公平和患者体验至关重要.
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