Community characteristics associated with where urgent care centers are located: a cross-sectional analysis.
Community characteristics associated with where urgent care centers are located: a cross-sectional analysis.
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DOI：
10.1136/bmjopen-2015-010663
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发表时间：
2016-04-07
期刊：
影响因子：
2.9
通讯作者：
Hsia RY
中科院分区：
文献类型：
--
作者：
Le ST;Hsia RY
确定与非医院紧急护理中心相关的社区特征，无论它们位于何处。采用描述性统计和多变量logistic回归分析评价非医院急诊中心与社区人口统计学特征之间的关联的全国横断面研究。使用美国紧急护理协会2014年国家数据库确定的美国非医院紧急护理中心的社区。31022个社区，包括6898个紧急护理中心。 社区内有非医院紧急护理中心。设有非医院紧急护理中心的社区是城市（75.7%有，22.2%没有;在农村和城市通勤区水平上，p<0.001），位于收入水平较高的地区（最高四分位数有38.6%，无22.3%;四分位数p<0.001）和较高的私人保险水平（最高四分位数有29.6% vs无23.9%;四分位数p<0.001）。虽然紧急护理行业的增长可能会产生其他有希望的影响，但政策制定者应该认识到，它可能会加剧贫困，无保险患者所面临的急性护理的差异，并且可能会对提供重叠服务的提供者产生财务影响，例如急诊科和初级保健实践。
To determine the community characteristics associated with non-hospital-based urgent care centres wherever they are located. National cross-sectional study evaluating the association between non-hospital-based urgent care centers, and their demographic characteristics in a community, using descriptive statistics and multivariate logistic regressions. Communities in the USA with non-hospital-based urgent care centers, as identified using a 2014 national database from the Urgent Care Association of America. 31 022 communities encompassing 6898 urgent care centers across the USA. Presence of a non-hospital-based urgent care center within a community. Communities with non-hospital-based urgent care centers are urban (75.7% with vs 22.2% without; p<0.001 across rural urban commuting area levels), and are located in areas with higher income levels (38.6% in highest quartile with vs 22.3% without; p<0.001 across quartiles) and higher levels of private insurance (29.6% in highest quartile with vs 23.9% without; p<0.001 across quartiles). While the growth of the urgent care industry may have other promising implications, policymakers should recognise that it may exacerbate disparities in access to acute care faced by poorer, uninsured patients, and may also have financial implications for providers that are providing overlapping services, such as emergency departments and primary care practices.