[雷焦艾米利亚省的急诊室服务利用情况：移民与意大利本土居民的比较]

[Emergency room services utilization in the province of Reggio Emilia: a comparison between immigrants and Italians].

作者信息

Bonvicini Laura, Broccoli Serena, D'Angelo Stefania, Candela Silvia

机构信息

Servizio di epidemiologia, Dipartimento di sanità pubblica, Azienda USL di Reggio Emilia.

出版信息

Epidemiol Prev. 2011 Sep-Dec;35(5-6):259-66.

PMID:22166771

Abstract

OBJECTIVE

The aim of the study is to compare Italian and immigrant accesses to Emergency Room (ER) Services in the province of Reggio Emilia, with particular attention to time differences and to potentially inappropriate accesses.

SETTING AND PARTICIPANTS

the database of ER accesses in the province of Reggio Emilia was analyzed for the years 2007- 2010. In the analysis of the resident population all autochthonous citizens and all immigrants from Developed Countries were considered Italians, while citizens from Developing Countries were Immigrants. Temporary Immigrants were those immigrants with residence and citizenship in a Developing Country.

MAIN OUTCOME MEASURES

A descriptive analysis was conducted using demographic variables related to patients (age, gender, citizenship and residence) and variables related to access (admission emergency codes, cause of admission, hour, day of the week, month and discharge modality). Standardized access Ratios (SRs) were calculated for the resident population, together with 95%Confidence Intervals (95% CI). The SRs were calculated separately for children and for adults.

RESULTS

In the years 2007-2010, 562,658 accesses to ER were recorded for Italians, 95,300 accesses for Immigrants and 6,800 for the Temporary Immigrants. Access rates for resident Immigrants were higher than Italian ones. In 2010, the SR for men was 1.24 (95%CI 1.22-1.27) while for women it was 1.18 (95%CI 1.15-1.27). Considering only non-urgent accesses, the SRs were even higher (SR men=1.65, 95% CI 1.58-1.72, women=1.43, 95% CI 1.36-1.50). Similar findings were observed in children.

CONCLUSION

Immigrants access the ER services more than Italians do.They also show more non-urgent accesses in comparison with Italians. This finding is consistent with results of studies conducted in other European countries and it underlines the necessity to reorganize primary care in order to better meet immigrants' needs.

摘要

目的

本研究旨在比较意大利人和移民在雷焦艾米利亚省获得急诊室（ER）服务的情况，特别关注时间差异以及潜在的不适当就诊情况。

设置与参与者

对雷焦艾米利亚省2007 - 2010年的急诊室就诊数据库进行了分析。在对常住人口的分析中，所有本地居民和所有来自发达国家的移民都被视为意大利人，而来自发展中国家的公民则为移民。临时移民是指那些在发展中国家拥有居留权和公民身份的移民。

主要观察指标

使用与患者相关的人口统计学变量（年龄、性别、公民身份和居住地）以及与就诊相关的变量（入院紧急代码、入院原因、时间、星期几、月份和出院方式）进行描述性分析。计算常住人口的标准化就诊率（SRs）以及95%置信区间（95%CI）。SRs分别针对儿童和成年人进行计算。

结果

在2007 - 2010年期间，意大利人有562,658次急诊室就诊记录，移民有95,300次，临时移民有6,800次。常住移民的就诊率高于意大利人。2010年，男性的SR为1.24（95%CI 1.22 - 1.27），女性为1.18（95%CI 1.15 - 1.27）。仅考虑非紧急就诊情况时，SRs更高（男性SR = 1.65，95%CI 1.58 - 1.72，女性 = 1.43，95%CI 1.36 - 1.50）。在儿童中也观察到了类似的结果。