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首页> 外文期刊>BMC Emergency Medicine >Influence of social characteristics on use of paediatric emergency care in Sweden - a questionnaire based study
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Influence of social characteristics on use of paediatric emergency care in Sweden - a questionnaire based study

机译：社会特征对瑞典儿科急诊服务使用的影响-基于问卷的研究

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Parental social characteristics influence the use of emergency departments (ED) in the USA, but less is known about paediatric ED care-seeking in countries with national health insurance. This prospective study was designed to evaluate associations between parental care-seeking and social characteristics, with emphasis on impact of non-native origin, at a paediatric ED in Sweden, a?European country providing paediatric healthcare free of charge. Parents attending a paediatric ED at a large urban university hospital filled out a questionnaire on social characteristics and reasons for care-seeking. Information on patient characteristics and initial management was obtained from ED registers and patient records. Paediatric ED physicians assessed the medical appropriateness of each patient visit triaged for ED care. In total, 962 patient visits were included. Telephone healthline service before the paediatric ED visit was less often used by non-native parents (63/345 vs. 249/544, p??0.001). Low-aquity visits, triaged away from the ED, were more common among non-native parents (80/368 vs. 67/555, OR?=?1.66; p?=?0.018), and among those reporting lower abilities in the Swedish language (23/82 vs. 120/837, OR?=?2.66; p?=?0.003). Children of non-native parents were more often assessed by physicians not to require ED care (122/335 vs. 261/512, OR?=?0.70; p?=?0.028). This study confirms more direct and less urgent use of paediatric ED care by parents of non-native origin or with limited abilities in the Swedish language, proposing that parental social characteristics influence paediatric ED care-seeking, also in a country with healthcare free of charge, and that specific needs of these groups should be better met by prehospital medical services.
机译：父母的社会特征会影响美国急诊科（ED）的使用，但在拥有国民健康保险的国家中，有关儿科ED求医的知之甚少。这项前瞻性研究旨在评估瑞典的一个儿科急诊室，这是一个免费提供儿科保健的欧洲国家，旨在评估父母寻求医疗服务与社会特征之间的关联，重点是非本地血统的影响。在一家大型城市大学医院就读小儿急诊科的父母填写了一份有关社会特征和寻求护理原因的调查表。有关患者特征和初步治疗的信息可从ED登记簿和患者记录中获得。儿科急诊科医师评估了每名经过急诊急诊就诊的患者的医疗适宜性。总共包括962位患者。小儿急诊就诊前的电话健康热线服务较少被非本地父母使用（63/345比249/544，p <0.001）。在非本地父母中，远离急诊室就诊的低空病就诊较为普遍（80/368比67/555，OR = 1.66; p = 0.018），以及报告的能力较低的人。瑞典语（23/82对120/837，OR == 2.66; p = 0.003）。医生更经常地评估非本地父母的孩子不需要急诊护理（122/335比261/512，OR = 0.70; p = 0.028）。这项研究证实了非母语或瑞典语能力有限的父母更直接，更紧急地使用了小儿ED护理，这表明父母的社会特征也会影响小儿ED的寻求护理，即使在这个国家免费提供医疗服务的国家，而院前医疗服务应更好地满足这些人群的特殊需求。

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