澳大利亚ED访问率的时间趋势,年龄周期队列方法
Ibrahima Diouf1, Justin Boyle2, Hwan-Jin Yoon1
1Australian e-Health Research Centre, Commonwealth Scientific and Industrial Research Organisation, Melbourne, Victoria, Australia.
Emergency medicine Australasia : EMA
|February 2, 2026
概括
澳大利亚的急诊室 (ED) 访问从2003年到2023年大幅增加,老年人群的比率更高. 尽管增长放缓,但年轻一代的ED访问率较高,影响了医疗保健规划.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 澳大利亚的急救部门 (ED) 使用在过去二十年中出现了大幅增长.
- 了解ED访问的人口和时间驱动因素对于有效的医疗保健资源分配至关重要.
研究的目的:
- 评估年龄,周期和队列 (APC) 对2003年至2023年期间澳大利亚急诊室访问趋势的影响.
- 识别ED使用的人口结构模式和代际差异.
主要方法:
- 一项回顾性观察性研究,利用来自澳大利亚卫生与福利研究所 (2003-2023) 的国家ED访问数据.
- 应用年龄,时期和队列 (APC) 模型来解开年龄,时间段和出生队列对ED访问趋势的影响.
主要成果:
- 从2003年到2013年,ED总访问量增加了67%,从2013年到2023年增加了25%,到2023年访问量超过900万次.
- 总体而言,ED访问率从每1000名居民中的218人上升到338人 (2003-2023年).
- 85岁以上的患者出现了最高的ED访问率 (2023年每1000人中有835人),自2003年以来增加了59%,而75岁以下的患者在各代人中呈现出持续较高的比率.
结论:
- 在APC模型中,在过去的十年中,ED访问增加的速度有所放缓.
- 年轻一代在同一个年龄段的老一代相比,持续地显示出更高的ED访问率.
- 75岁以下人均ED访问人数持续增加,需要战略医疗保健规划和政策干预来管理需求.
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