Feigelman S, Duggan A K, Bazell C M, Baumgardner R A, Mellits E D, DeAngelis C
Johns Hopkins University School of Medicine, Baltimore, Maryland.
Clin Pediatr (Phila). 1990 Dec;29(12):698-705. doi: 10.1177/000992289002901204.
We conducted a case-control study to examine the correlates of emergency room use in the first year of life, particularly the role of parental health beliefs, among the families of inner-city children enrolled in a hospital-based primary care program. Data was collected by structured interviews and by medical record review. Emergency room users were more likely to have single mothers and to have acute, recurrent medical conditions than were non-users. Health beliefs differed between groups by maternal report of worry about the kinds of illnesses that her child acquires. Emergency room use was predicted by: maternal marital status, maternal worry and concern that illness interferes with her child's activity, acute recurrent illnesses, hospitalization. This model may be applicable to other populations in designing intervention strategies to modify emergency room utilization.
我们进行了一项病例对照研究，以调查参加医院初级保健项目的市中心儿童家庭中，一岁以内儿童急诊室就诊的相关因素，特别是父母健康观念的作用。通过结构化访谈和病历审查收集数据。与未使用急诊室的儿童相比，使用急诊室的儿童更有可能是单亲母亲，并且患有急性、复发性疾病。两组之间的健康观念因母亲对孩子所患疾病种类的担忧报告而有所不同。急诊室就诊可由以下因素预测：母亲的婚姻状况、母亲对疾病干扰孩子活动的担忧、急性复发性疾病、住院治疗。该模型可能适用于其他人群，以设计干预策略来改变急诊室的使用情况。
