Detecting Racial and Ethnic Disparities in Pediatric Emergency Department Care Using the PECARN Data Registry.

使用 PECARN 数据注册表检测儿科急诊科护理中的种族和民族差异。

• 批准号: 9375043
• 负责人: Monika Kumari Goyal
• 金额: $ 10.96万
• 依托单位: CHILDREN'S RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-11 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9375043
• 关键词: Absence of pain sensation; Academy; Accident and Emergency department; Acute Pain; Adult; American; Analgesics; Appendicitis; Applied Research; Caring; Child; Child Care; Child health care; Childhood; Clinical; Clinical Data; Confounding Factors (Epidemiology); Data; Data Set; Diagnosis; Diagnostic radiologic examination; Electronic Health Record; Emergency Care; Emergency department visit; Ethnic Origin; Evaluation; Fracture; Funding; Future; Goals; Guidelines; Health; Health Services; Health Services Accessibility; Healthcare; Hispanics; Institute of Medicine (U.S.); Insurance Coverage; Intervention; Laboratories; Link; Methodology; Mission; Natural Language Processing; Opioid Analgesics; Outcome; Outcome Measure; Pain; Pain management; Patients; Pediatrics; Pharmaceutical Preparations; Population; Process; Process Measure; Publishing; Race; Records; Registries; Reporting; Research; Research Infrastructure; Sexually Transmitted Diseases; Socioeconomic Status; Source; Techniques; Testing; Time; Underrepresented Minority; United States Agency for Healthcare Research and Quality; Visit; care seeking; cohort; data registry; discrete data; ethnic difference; health care delivery; health care disparity; health equity; inclusion criteria; long bone; racial and ethnic disparities; racial difference; response

Project Summary Understanding and eliminating racial and ethnic disparities in health care are national priorities. There is growing evidence that such disparities extend to the care of children. Our overall goals are to Detect, Understand, and Reduce racial and ethnic disparities in the emergency care of children. Through this proposal we will have the capacity to utilize the AHRQ funded Pediatric Emergency Care Applied Research Network (PECARN) Registry, a comprehensive clinical registry of all pediatric emergency department (ED) visits from 7 EDs to detect racial and ethnic disparities in the management of children seeking care in the ED. Once we detect the magnitude of racial and ethnic disparities in health care provision, we can then seek to understand why such disparities exist, which can then inform interventions to reduce racial and ethnic disparities and achieve health equity. Through rigorous evaluation and use of multicenter comprehensive clinical data, this proposal will provide critical evidence and lay the framework for the next steps of our research mission - to develop and test interventions to reduce racial and ethnic disparities in the provision of pediatric emergency care.

项目摘要 了解和消除卫生保健方面的种族和族裔差异是国家优先事项。的确有 越来越多的证据表明，这种差距延伸到了对儿童的照料。我们的总体目标是发现， 了解并减少儿童紧急护理方面的种族和族裔差异。通过这项提案 我们将有能力利用AHRQ资助的儿科急救应用研究网络 (PECARN)注册表，一个全面的临床注册表，其中包括来自7个国家的所有儿科急诊科(ED)就诊 教育署在管理到教育署寻求照顾的儿童方面，以找出种族和族裔的差异。一旦我们 检测医疗保健提供方面的种族和民族差距的严重程度，然后我们就可以寻求了解 为什么存在这种差异，这可以为减少种族和民族差异的干预措施提供信息，并 实现健康公平。通过严格评估和使用多中心综合临床数据，这 提案将提供关键证据，并为我们的研究任务的下一步奠定框架- 制定和测试干预措施，以减少在提供儿科急救方面的种族和族裔差异 关心。