美国无家可归患者对城市急诊科的利用情况。
Homeless patients' use of urban emergency departments in the United States.
作者信息
Coe Antoinette B, Moczygemba Leticia R, Harpe Spencer E, Gatewood Sharon B S
机构信息
Department of Pharmacotherapy and Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia (Drs Coe, Moczygemba, and Gatewood); and Pharmacy Administration, Chicago College of Pharmacy, Midwestern University, Downers Grove, Illinois (Dr Harpe).
出版信息
J Ambul Care Manage. 2015 Jan-Mar;38(1):48-58. doi: 10.1097/JAC.0000000000000034.
Abstract
Data from the 2009-2010 National Hospital Ambulatory Care Survey-Emergency Department were used to compare homeless patients' utilization of the urban emergency department (ED) in the United States with nonhomeless patients and to examine the relationship between homelessness and demographics and ED utilization measures. The weighted sample size was 200 645 347. A total of 1 302 256 patients (0.65%) were homeless. Homeless patients were significantly more likely to be older, male, have self-pay, have no charge/charity or other as payment type, arrive via ambulance, have a longer ED visit, and a past visit to the same ED in the last year.
摘要
利用2009 - 2010年国家医院门诊护理调查 - 急诊科的数据，比较美国无家可归患者与非无家可归患者对城市急诊科（ED）的利用情况，并研究无家可归与人口统计学及急诊科利用指标之间的关系。加权样本量为200645347。共有1302256名患者（0.65%）无家可归。无家可归患者明显更有可能年龄较大、为男性、自费、支付类型为无收费/慈善或其他、通过救护车送达、急诊科就诊时间更长且去年曾到同一急诊科就诊。
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Am J Public Health. 2013 Dec;103 Suppl 2(Suppl 2):S294-301. doi: 10.2105/AJPH.2013.301369. Epub 2013 Oct 22.
2
Will health care reform increase access for the homeless?医疗改革会增加无家可归者的就医机会吗？
Am J Nurs. 2012 Oct;112(10):19-20. doi: 10.1097/01.NAJ.0000421015.18545.52.
3
Understanding transitions in care from hospital to homeless shelter: a mixed-methods, community-based participatory approach.了解从医院到收容所的护理过渡：一种基于社区的混合方法、参与式方法。
J Gen Intern Med. 2012 Nov;27(11):1484-91. doi: 10.1007/s11606-012-2117-2. Epub 2012 Jun 16.
4
Variations in ambulance use in the United States: the role of health insurance.美国救护车使用情况的变化：医疗保险的作用。
Acad Emerg Med. 2011 Oct;18(10):1036-44. doi: 10.1111/j.1553-2712.2011.01163.x.
5
An intervention to improve care and reduce costs for high-risk patients with frequent hospital admissions: a pilot study.改善频繁住院的高危患者的护理并降低成本的干预措施：一项试点研究。
BMC Health Serv Res. 2011 Oct 13;11:270. doi: 10.1186/1472-6963-11-270.
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7
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Health Aff (Millwood). 2010 May;29(5):799-805. doi: 10.1377/hlthaff.2010.0026.
8
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