Urban emergency department utilization by adolescents
Urban emergency department utilization by adolescents
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DOI：
10.1177/000992280003900806
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发表时间：
2000-08-01
影响因子：
1.6
通讯作者：
Petrack, EM
中科院分区：
文献类型：
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作者：
Grove, DD;Lazebnik, R;Petrack, EM
本研究描述了青少年对城市急诊室的利用情况和随访转诊模式。本文回顾了1993年某城市大学医院与相邻的成人和儿科急诊科一起就诊的14-19岁患者的急诊情况。随机选择一个亚组(n=150)进行详细的图表复习。在研究期间，有1,636名青少年在ED接受治疗。公共援助(n=763；47%)和商业保险(n=480；29%)是最常见的保险形式，其次是自付(n=357；22%)。急诊科就诊的大多数分诊代码是非紧急的(n=140；93%)。25名患者(17%)在ED出院后没有被转介进行随访。接受公共援助或没有保险的青少年可能经常使用城市急诊室解决非紧急医疗问题，一组患者在分诊时没有确定初级保健提供者，也没有被转介进行后续治疗。明确青少年利用教育署解决的医疗问题可能有助于卫生专业人员调整社区资源，以便更好地满足青少年的卫生保健需求。
This study describes urban emergency department (ED) utilization and follow-up referral patterns among adolescents. ED visits for 14-19-year-old patients at an urban university hospital with adjacent adult and pediatric emergency departments during specified months in 1993 were retrospectively reviewed. A subgroup (n=150) was randomly selected for detailed chart review. One thousand six hundred and thirty-six adolescents were seen in the ED during the study period. Public assistance (n=763; 47%) and commercial insurance (n=480; 29%) were the most common forms of insurance, followed by self-pay (n=357; 22%). The majority of triage codes for ED visits were nonurgent (n=140; 93%). Twenty-five patients (17%) were not referred for follow-up upon ED discharge. Adolescents on public assistance or without insurance may frequently utilize an urban ED for nonurgent medical problems, A group of patients did not identify a primary care provider at triage and were not referred for follow-up. Defining medical problems for which adolescents utilize the ED may help health professionals to tailor community resources to better serve adolescent health care needs.