监禁人员的疾病外科负担:医疗保健中的公平挑战
Andrew Snyder1, Annelise Long1, Andrew Oh1
1School of Medicine, University of Washington, Seattle, Washington, USA.
概括
监禁患者的手术护理尚未得到充分研究. 许多患者需要紧急护理,但随访和对门诊外科手术服务的访问显著缺乏,影响了护理的连续性.
科学领域:
- 公共卫生 公共卫生
- 手术护理 手术护理
- 健康 公平 卫生 公平
背景情况:
- 被监禁的人有宪法赋予的获得医疗保健的权利.
- 在这个人群中,外科手术的需求并未得到充分理解.
- 关于在惩戒设施中外科疾病负担的数据有限.
研究的目的:
- 评估监禁患者中手术条件的流行率.
- 分析在监狱环境中的外科咨询和护理模式.
- 为了确定这一群体的外科护理供应的差距.
主要方法:
- 在一年内对332名囚禁患者进行了回顾性审查,这些患者出现了手术条件.
- 分析急诊室访问,外科医生评估,住院和复诊情况.
- 在初次手术咨询后对门诊随访率的评估.
主要成果:
- 40%的监禁患者被外科医生评估.
- 43%的评估患者在初次诊所就诊时需要入院.
- 31%的患者在90天内返回ED,其中30%需要重新入院.
- 只有66%的推门诊随访的患者得到了随访.
结论:
- 监禁人员中存在大量的外科疾病负担.
- 获得及时的外科评估和适当的门诊随访是有限的.
- 需要进行系统性改进,以确保为这种受宪法保护的人群提供足够的外科护理.
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