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

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的优先事项。有 越来越多的证据表明，这种差距扩大到儿童的照顾。我们的总体目标是检测， 了解并减少儿童紧急护理中的种族和民族差异。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）登记研究，一项全面的儿科急诊科（艾德）访视临床登记研究， ED检测在ED寻求护理的儿童的管理中的种族和民族差异。一旦我们 检测医疗保健提供中种族和民族差异的程度，然后我们可以试图了解 为什么存在这种差异，这可以为减少种族和族裔差异的干预措施提供信息， 实现卫生公平。通过严格的评估和多中心综合临床数据的使用， 该提案将提供关键证据，并为我们的研究使命的下一步奠定框架- 制定和测试干预措施，以减少儿科急诊服务中的种族和民族差异 在乎

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.