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Emergency Department Use and Care in American Indian Children

美洲印第安儿童急诊室的使用和护理

基本信息

批准号：
8580148
负责人：
Susan E Puumala
金额：
$ 35.06万
依托单位：
SANFORD RESEARCH/USD
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-08-01 至 2017-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8580148
关键词：
Accident and Emergency department Address Algorithms American Indians Area Attention Attitude Caring Catchment Area Child Childhood Chronic Disease Collection Communities Community Practice Data Diagnosis Discrimination Disease Effectiveness Elderly Environment Ethnic Origin Ethnic group Evaluation Face Feedback Focus Groups Health Healthcare Hospitals Injury Institutes Institutional Practice Insurance Insurance Coverage Intervention Knowledge Laboratories Lead Left Minority Groups Not Hispanic or Latino Nurses Outpatients Parents Pattern Patterns of Care Perception Physicians Population Primary Health Care Provider Quality of Care Race Radiology Specialty Reliance Research Source Substance abuse problem Testing Transportation Visit health care quality improved information gathering meetings novel strategies population based racial and ethnic social standardized care tribal community tribal member

项目摘要

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.

美国印第安儿童在健康和保健方面面临着许多差异。有一个领域