CORRELATION OF EMERGENCY HEALTH-CARE USE, 911 VOLUME, AND JAIL ACTIVITY WITH WELFARE CHECK DISTRIBUTION
CORRELATION OF EMERGENCY HEALTH-CARE USE, 911 VOLUME, AND JAIL ACTIVITY WITH WELFARE CHECK DISTRIBUTION
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DOI：
10.1016/s0196-0644(05)80834-0
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发表时间：
1991-07-01
影响因子：
6.2
通讯作者：
RUIZ, E
中科院分区：
文献类型：
--
作者：
BRUNETTE, DD;KOMINSKY, J;RUIZ, E
研究目的：本研究的目的是探讨紧急医疗服务的使用，911呼叫量，和监狱招生与一般援助，援助与受抚养子女的家庭，和明尼苏达州补充援助福利checks.Design的分布时间之间的关系：这是一项回顾性研究，分析以前收集的人口普查和福利检查分布数据。本研究中使用的数据来自亨内平县医疗中心、亨内平县监狱和酒精接收中心以及经济援助部。1986年至1988年亨内平县医疗中心急诊科、艾德复苏室、儿科艾德、危机干预中心、紧急护理中心和酒精接收中心。 还获得了同一年每天救护车运行，非选择性住院，Hennepin县911电话和Hennepin县监狱入院的数量。 计算了36个月观察期内每个月每天的平均值。 这些数据与自每月发放一般援助、有受抚养子女家庭援助和明尼苏达州补充援助福利支票以来的天数相关。分发支票后的天数与酒精接收中心普查的平均值之间存在显著相关性（r = -.96，P < .00001），艾德（r = -.80，P < .0001），救护车运行（r = -.68，P < .0001），911次呼叫（r = -.45，P = .01），入狱率（r = -.45，P = .01），非择期住院（r = -.44，P = .01），危机干预中心访问（r = -.39，P = .03）。研究结果表明，Hennepin县各种紧急服务区的调度和人员配备实践反映了与时间相关的患者负荷变化。福利支票发放。 时间或福利金额的系统变化可能会导致改善分配和减少紧急服务的需求。
Study objectives: The purpose of this study was to examine the relationship among emergency health care use, 911 call volume, and jail admissions with the timing of the distribution of General Assistance, Aid to Families With Dependent Children, and Minnesota Supplemental Aid welfare checks.Design: This was a retrospective study analyzing previously collected census and welfare check distribution data.Setting: The data used in this study were obtained from the Hennepin County Medical Center, the Hennepin County jail and alcoholic receiving center, and Department of Economic Assistance.Interventions: The daily census for the years 1986 through 1988 in the Hennepin County Medical Center emergency department, ED resuscitation room, pediatric ED, crisis intervention center, urgent care center, and alcoholic receiving center was obtained. The numbers of daily ambulance runs, nonelective hospital admissions, Hennepin County 911 calls, and Hennepin County jail admissions for the same years also were obtained. Means for each day of the month were computed across the 36 months of observation. These data were correlated with the number of days elapsed since the monthly issuance of the General Assistance, Aid to Families With Dependent Children, and Minnesota Supplemental Aid welfare checks.Measurements and main results: There were significant correlations between the number of days after distribution of the checks and the average values of the census of the alcoholic receiving center (r = -.96, P < .00001), the ED (r = -.80, P < .0001), ambulance runs (r = -.68, P < .0001), 911 calls (r = -.45, P = .01), jail admissions (r = -.45, P = .01), nonelective hospital admissions (r = -.44, P = .01), and the crisis intervention center visits (r = -.39, P = .03).Conclusions: The findings suggest that scheduling and staffing practices of various emergency service areas in Hennepin County reflect patient load variation associated with time of welfare check distribution. Systematic variation of time or amount of welfare could lead to improved distribution and reduction of emergency services demand.