[与儿科急诊服务使用相关的因素：西班牙国家健康调查结果]

[Factors related to the use of pediatric emergency services: results from the Spanish National Health Survey].

作者信息

Expósito-Ruiz Manuela, Sánchez-López Juan, Ruiz-Bailén Manuel, Rodríguez-Del Águila María Del Mar

机构信息

Unidad de Apoyo a la Investigación, Complejo Hospitalario Universitario de Granada, Fundación FIBAO, Granada, España.

Cuidados Críticos y Urgencias, Complejo Hospitalario Universitario de Granada, Granada, España.

出版信息

Emergencias. 2017;29(2):117-121.

PMID:28825255

Abstract

OBJECTIVES

To determine the frequency of use of Spanish pediatric emergency services, and to describe user profiles and geographic variations.

MATERIAL AND METHODS

Descriptive study based on data from the Spanish National Health Survey. We calculated descriptive statistics and analyzed crude and adjusted odds ratios (ORs).

RESULTS

Thirty-five percent of the 5495 respondents had come to an emergency department in the past year, and 88.1% of them had used the services of a Spanish national health service hospital. Factors associated with higher use of emergency services were male sex of the patient, (OR, 1.202; 95% CI, 1.047-1.381), a higher educational level of parents (OR, 1.255; 95% CI, 0.983-1.603), and younger age of the child (OR, 0.909; 95% CI, 0.894-0.924). Emergency department use varied widely from one Spanish community to another. There was a positive correlation between use and the presence of a foreign-born population (ρ=0.495, P=.031).

CONCLUSION

The rate of emergency department use is high in Spain. Variability between geographic areas is considerable, and some variation is explained by population characteristics.

摘要

目的

确定西班牙儿科急诊服务的使用频率，并描述用户特征和地理差异。

材料与方法

基于西班牙国家健康调查数据的描述性研究。我们计算了描述性统计数据，并分析了粗比值比和调整后的比值比（OR）。

结果

在5495名受访者中，35%的人在过去一年去过急诊科，其中88.1%使用了西班牙国家医疗服务医院的服务。与急诊服务使用频率较高相关的因素包括患者为男性（OR，1.202；95%CI，1.047 - 1.381）、父母教育水平较高（OR，1.255；95%CI，0.983 - 1.603）以及孩子年龄较小（OR，0.909；95%CI，0.894 - 0.924）。不同西班牙社区之间急诊科的使用情况差异很大。使用情况与外国出生人口的存在呈正相关（ρ = 0.495，P = 0.031）。