在加拿大获得创伤护理的差异:人口普查数据的地理空间分析
Prachikumari Patel1, Tim Elrick2, Meghan Ewing2
1From the Division of General Surgery, Department of Surgery, McGill University, Canada.
概括
大多数加拿大人生活在创伤护理的一小时之内,但农村,土著和低社会经济水平的人口仍然存在显著的差异. 改善这些服务不足的群体的获取对于公平的创伤护理提供至关重要.
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
- 地理空间分析的研究.
背景情况:
- 在加拿大,获得及时的创伤护理是不公平的,特别影响农村和偏远地区的人口.
- 地理隔离,资源限制和系统性障碍导致创伤护理获得和结果的差异.
研究的目的:
- 确定加拿大人口在1级和2级创伤中心1小时的旅行时间内所占比例.
- 分析居住在1小时范围之外的个人的社会人口统计特征.
主要方法:
- 地理信息系统 (GIS) 用于为创伤中心绘制1小时的地面和空中运输采集区.
- 加拿大统计局2021年人口普查数据确定了这些水域内外的人口 (≥15岁).
主要成果:
- 75.8%的加拿大人生活在1级或2级创伤中心1小时之内.
- 在1小时范围之外的人口更有可能失业,缺乏中学后教育,收入较低,并且是土著人.
- 直升机运输将覆盖率提高到90.3%,但社会经济差异仍然存在.
结论:
- 在加拿大,在获得终极创伤护理方面存在重大差异,不成比例地影响弱势群体.
- 即使有了航空运输,社会经济和土著人口仍然受到服务不足.
- 有针对性的干预措施是必要的,以改善这些群体的创伤护理机会.
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