紧急部门入院时间的模式和社会人口统计因素的变化
Christiana K Prucnal1, Melissa A Meeker2, Martin Copenhaver3
1Brigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts.
The western journal of emergency medicine
|December 11, 2025
概括
与有商业保险的患者相比,医疗补助和医疗保险的患者在急诊室 (ED) 的登机时间更长. 在这项研究中,种族和主要语言并没有显著影响ED登机时间.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医院运营 医院运营
- 健康 公平 卫生 公平
背景情况:
- 进入急诊室 (ED) 是一个关键问题,影响患者的治疗结果,增加住院时间,走廊护理和死亡率.
- 现有研究强调了ED能力指标的种族和民族差异,例如走廊护理.
- 然而,由于更广泛的社会人口统计学因素,ED登机率的变化仍然不足.
研究的目的:
- 根据社会人口统计学因素,研究急诊室 (ED) 登机时间的变化.
- 调查一个标准化的床位优先排序流程是否能减轻ED登机方面的不平等.
- 测试结构化住院分配减少登机不平等的假设.
主要方法:
- 从2020年2月到2023年2月接受住院医疗服务的成年患者的回顾性队列研究.
- 数据收集自一个城市,学术,三级医院,每年有超过11万次ED访问.
- 分析包括人口统计学,访问特征和床要求特征,使用回归分析与概括估计方程.
主要成果:
- 分析了超过22,000名患者的遭遇,其中大多数登机时间超过120分钟.
- 与商业保险患者相比,医疗补助和医疗保险患者的ED登机时间 (分别为85分钟和67分钟) 显着更长.
- 虽然非西班牙裔黑人患者和非英语发言者表现出更长时间登机的趋势,但这些差异在统计学上并不显著.
结论:
- 非商业保险 (医疗补助,医疗保险) 与长时间入住急诊室 (ED) 有着显著的关联.
- 在这个队列中,种族/种族和主要语言并不是ED登机时间的重要因素.
- 需要进一步的研究来证实这些发现,了解患者的影响,并制定有针对性的干预措施,以减少ED登机不平等.
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