Schappert Susan M, Bhuiya Farida
Center for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, MD 20782, USA.
Natl Health Stat Report. 2012 Mar 1(47):1-21.
This report presents data on the availability of pediatric services, expertise, and supplies for treating pediatric emergencies in U.S. hospitals.
Data in this report are from the Emergency Pediatric Services and Equipment Supplement (EPSES), a self-administered questionnaire added to the 2006 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS samples nonfederal short-stay and general hospitals in the United States. Sample data were weighted to produce annual estimates of pediatric services, expertise, and equipment availability in hospital emergency departments (EDs).
In 2006, only 7.2 percent of hospital EDs had all recommended pediatric emergency supplies, and 45.6 percent had at least 85.0 percent of recommended supplies. EDs in children's hospitals and hospitals with pediatric intensive care units (PICUs) were more likely to meet guidelines for pediatric emergency department services, expertise, and supplies. About 74.0 percent of these facilities had at least 85.0 percent of recommended supplies, compared with 42.4 percent of other facilities. Among children's hospitals and hospitals with PICUs, 66.0 percent had 24 hours a day, 7 days a week access to a board-certified pediatric emergency medicine attending physician; such access was uncommon in other types of hospitals. In general, little change was noted in the availability of emergency pediatric supplies between 2002-2003, when the initial EPSES was conducted, and 2006.
本报告提供了有关美国医院儿科急诊服务、专业知识和治疗用品可用性的数据。
本报告中的数据来自急诊儿科服务与设备补充问卷（EPSES），这是一份添加到2006年国家医院门诊医疗调查（NHAMCS）中的自填式问卷。NHAMCS对美国的非联邦短期住院和综合医院进行抽样。对样本数据进行加权处理，以得出医院急诊科儿科服务、专业知识和设备可用性的年度估计值。
2006年，只有7.2%的医院急诊科配备了所有推荐的儿科急救用品，45.6%的急诊科配备了至少85.0%的推荐用品。儿童医院和设有儿科重症监护病房（PICU）的医院的急诊科更有可能符合儿科急诊科服务、专业知识和用品的指南。这些机构中约74.0%配备了至少85.0%的推荐用品，而其他机构的这一比例为42.4%。在儿童医院和设有PICU的医院中，66.0%的医院每周7天、每天24小时都有获得儿科急诊医学委员会认证的主治医师；这种情况在其他类型的医院中并不常见。总体而言，在2002 - 2003年（首次进行EPSES调查时）至2006年期间，儿科急救用品的可用性几乎没有变化。
