Emergency Department Use and Care in American Indian Children

美国印第安人（Al）儿童在健康和医疗保健方面面临着一些差距。的一个领域 很少有人关注的是在急诊科（艾德）对AI儿童的使用和护理。 已经进行的少量研究表明，人工智能儿童增加了艾德的使用， 无护理离开的比率增加，以及在艾德环境中可能提供的差别护理。这 这项研究旨在更全面地了解和描述艾德的使用模式，并在2010年12月25日至26日期间对儿童进行护理。 上中西部，并制定干预措施，以解决尚未探索的问题。我们将与 整个上中西部以及Al社区的集水区内的ED集合 这些ED通过我们的合作伙伴，我们将从医院收集数据，以帮助澄清使用和护理 实践，并从急诊室内的护理提供者那里收集反馈。我们还将深入社区， 与家长、监护人和长者交谈，了解他们对艾德使用和护理的看法。的 收集的信息将用于制定干预措施，以帮助改善艾德的使用和对AI儿童的护理。 这项研究是独特的，在检查使用和护理提供给儿童的教育署。 探索了艾德使用和照顾其他少数群体的差异，没有一个人专门关注AI 孩子艾德内尚未提出或制定针对这一人群的干预措施， 这正是本提案所要满足的关键需求。

American Indian (Al) children face a number of disparities in health and health care. One area that has received little attention is the use of and care provided to Al children at the emergency department (ED). The little research that has been performed suggests that Al children have increased usage of the ED, increased rates of leaving without care, and possible differential care provided within the ED setting. This study aims to more fully understand and characterize the patterns of ED use and care for Al children in the Upper Midwest and develop interventions to address issues that are unexplored to date. We will partner with a collection of EDs throughout the Upper Midwest as well as Al communities within the catchment area of these EDs. Through our partners, we will gather data from the hospitals to help clarify usage and care practices and gather feedback from the care providers within the EDs. We will also go into the communities to talk to Al parents, guardians, and elders to obtain their perspectives on ED use and care provided. The information collected will be used to develop interventions to help improve ED use and care for Al children. This study is unique in examining the use and care provided to Al children in the ED. While studies have explored disparities in ED usage and care for other minority groups, none have focused specifically on Al children. No interventions within the ED have yet been proposed or developed specific to this population, which is a critical need this proposal will meet.