低价值的紧急护理以及美国儿童医院的种族和种族差异
Robert H Rosen1,2, John J Porter3, Michael C Monuteaux3,4
1Ronald O. Perelman Department of Emergency Medicine, New York University Grossman School of Medicine, New York University Langone Health, New York, New York.
在儿童医院中,低价值护理 (LVC) 的种族和民族差异仍然存在. 较低的医院LVC率并没有减少这些差异,强调了针对性的干预措施的必要性,以解决儿科急救护理中的不平等问题.
科学领域:
- 儿科急救医学 儿科急救医学
- 健康 公平 卫生 公平
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 低价值护理 (LVC) 是儿科医疗保健的一个重大问题.
- 现有研究表明,在医疗保健提供方面可能存在种族和民族差异.
研究的目的:
- 调查常见的儿科紧急情况的LVC的种族和民族差异.
- 检查医院层面的LVC率与医院内部种族和种族差异之间的关系.
主要方法:
- 从2021-2023年对超过314,000例儿科紧急情况 (喘,支气管炎,头痛,轻微头部损伤) 的横截面研究.
- 根据种族和种族 (黑人,白人,西班牙裔) 分析LVC率,使用多变量逻辑回归.
- 检查医院LVC率与种族/民族LVC差异之间的关联.
主要成果:
- 总体而言,LVC的发病率因病情而异:喘 (18%),支气管炎 (32%),头痛 (24%),轻微的头部损伤 (26%).
- 与黑人和西班牙裔患者相比,白人患者在多种疾病中接受LVC的几率更高.
- 医院LVC率与医院内LVC差异的程度与种族和种族不相关.
结论:
- 较低的医院LVC率与LVC中种族和民族差异的减少没有相关性.
- 有针对性的策略对于解决和减少儿科急救护理中的LVC不平等至关重要.
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