Emergency Department utilization among Deaf American Sign Language users.
Emergency Department utilization among Deaf American Sign Language users.
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DOI：
10.1016/j.dhjo.2015.05.004
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发表时间：
2015-10
影响因子：
4.5
通讯作者：
Fiscella K
中科院分区：
文献类型：
--
作者：
McKee MM;Winters PC;Sen A;Zazove P;Fiscella K
聋人美国手语（ASL）用户包括语言少数群体，由于沟通障碍和健康素养低，他们的医疗保健服务较差。潜在地，这些卫生保健障碍可能会增加急诊室（艾德）的使用。比较耳聋和非耳聋患者使用艾德的情况。来自医疗记录的回顾性队列。样本来自400个随机选择的图表（200个聋人ASL用户和200个听力英语发言者），来自一个门诊初级保健中心，有大量的聋人患者。摘要资料包括病人人口统计资料、保险、健康行为和过去36个月内的艾德使用情况。聋人患者更有可能从不吸烟，并通过医疗补助保险。在校正分析中，聋人在过去36个月内使用艾德的可能性显著更大（比值比[OR]，1.97; 95%置信区间[CI]，1.11-3.51）。与一般听力人群相比，美国聋人手语使用者似乎更有可能提高艾德的利用率。非常需要努力进一步了解聋人ASL用户中增加艾德利用率的驱动因素。
Deaf American Sign Language (ASL) users comprise a linguistic minority population with poor health care access due to communication barriers and low health literacy. Potentially, these health care barriers could increase Emergency Department (ED) use. To compare ED use between deaf and non-deaf patients. A retrospective cohort from medical records. The sample was derived from 400 randomly selected charts (200 deaf ASL users and 200 hearing English speakers) from an outpatient primary care health center with a high volume of deaf patients. Abstracted data included patient demographics, insurance, health behavior, and ED use in the past 36 months. Deaf patients were more likely to be never smokers and be insured through Medicaid. In an adjusted analysis, deaf individuals were significantly more likely to use the ED (odds ratio [OR], 1.97; 95% confidence interval [CI], 1.11–3.51) over the prior 36 months. Deaf American Sign Language users appear to be at greater odds for elevated ED utilization when compared to the general hearing population. Efforts to further understand the drivers for increased ED utilization among deaf ASL users are much needed.