USE OF EMERGENCY DEPARTMENTS FOR PREVENTATIVE CARE AMONG ADULTS IN THE UNITED STATES: ESTIMATES FROM THE 2017 NATIONAL HEALTH INTERVIEW SURVEY
USE OF EMERGENCY DEPARTMENTS FOR PREVENTATIVE CARE AMONG ADULTS IN THE UNITED STATES: ESTIMATES FROM THE 2017 NATIONAL HEALTH INTERVIEW SURVEY
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DOI：
10.1016/j.jemermed.2019.06.004
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发表时间：
2019-10-01
影响因子：
1.5
通讯作者：
Gilreath, Tamika
中科院分区：
文献类型：
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作者：
Primm, Kristin;Muraleetharan, Daenuka;Gilreath, Tamika
背景资料：使用急诊室（艾德）进行常规或预防性护理一直是政策制定者和公共卫生从业人员长期关注的问题。目的：我们利用最近的数据，以检查与使用艾德进行常规或预防性护理的国家成人样本相关的健康相关，社会经济和人口统计学因素。研究方法：来自2017年全国健康访谈调查的数据，这项调查使用了26，742名年龄≥ 18岁的成年人的全国代表性样本。双变量和多变量分析用于评估报告使用ED作为预防保健的常用来源与健康相关、社会经济和人口统计学因素之间的关联。结果：2017年，全国约有200万成年人报告说，艾德是他们通常的预防保健来源。经历>= 2个卫生保健相关障碍的个体更有可能使用艾德作为常规预防保健的来源（比值比= 2.78 [95%置信区间1.64-4.72]）。与有私人保险的人相比，没有保险的人使用艾德进行护理的几率更高（比值比= 9.52 [95%置信区间5.60-16.19]）。此外，那些使用艾德进行预防性护理的人更有可能是年轻，贫穷，受教育程度较低，被认为是亚洲或非洲裔美国人，并居住在美国东北部。结论：这项研究提供了一个当前的角度到特点和因素，有助于使用艾德的预防保健。总的来说，我们的研究结果表明，艾德继续提供关键的安全网服务，以一小部分人口遇到重大障碍，及时的医疗保健。(C)2019爱思唯尔公司All rights reserved.
Background: Use of the emergency department (ED) for routine or preventative care has been an abiding concern for policy makers and public health practitioners. Objectives: We utilized recent data to examine health-related, socioeconomic, and demographic factors associated with use of the ED for routine or preventative care using a national sample of adults. Methods: Data from the 2017 National Health Interview Survey, a nationally representative sample of 26,742 adults >= 18 years of age was used for this investigation. Bivariate and multivariate analyses were used to assess the association between reported use of EDs as a usual source of preventative care and health-related, socioeconomic, and demographic factors. Results: In 2017, approximately 2 million adults nationwide reported the ED as their usual source of preventative health care. Individuals experiencing >= 2 health care-related barriers were more likely to use the ED as a source of usual preventative care (odds ratio = 2.78 [95% confidence interval 1.64-4.72]). Individuals without insurance had higher odds (odds ratio = 9.52 [95% confidence interval 5.60-16.19]) of using the ED for care compared with those who were privately insured. In addition, those using the ED for preventative care were more likely to be younger, poorer, less educated, to identify as Asian or African American, and to reside in the Northeast United States. Conclusion: This study provides a current perspective into characteristics and factors contributing to use of the ED for preventative care. Overall, our findings suggest that the ED continues to provide crucial safety net services to a small subset of the population experiencing significant barriers to timely medical care. (C) 2019 Elsevier Inc. All rights reserved.