Emergency Department Use and Care in American Indian Children

美国印第安人(Al)儿童在健康和保健方面面临许多差距。有一个地区拥有 急诊科对Al儿童的使用和护理很少受到关注。 已经进行的少量研究表明，阿尔茨海默病儿童增加了对ED的使用， 更高的无照顾率，以及在急诊室环境中可能提供的差别化护理。这 这项研究的目的是更全面地了解和描述儿童使用和照顾智力障碍儿童的模式 并制定干预措施，以解决迄今尚未探索的问题。我们将与 整个上中西部和集水区内的Al社区的EDs集合 这些急救员。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 并收集急诊室内护理人员的反馈。我们还将深入社区 与Al的父母、监护人和长辈交谈，以了解他们对ED的使用和提供的护理的看法。这个 收集到的信息将用于制定干预措施，以帮助改善对Al儿童的教育使用和护理。 这项研究在探讨教育署对弱智儿童的使用和照顾方面是独一无二的。虽然研究表明 探讨了在使用ED和照顾其他少数群体方面的差异，没有人特别关注Al 孩子们。目前还没有针对这一人群提出或制定教育署内的干预措施， 这是这项提议将满足的一个关键需求。

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.