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首页> 外文期刊>Canadian Journal of Emergency Medicine >Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta
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Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta

机译：向艾伯塔省急诊部自我伤害的社会人口学儿童中的紧急医疗保健用途

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ObjectiveTo examine sociodemographic variations among children <18 years in (1) rates of self-harm visits to emergency departments (EDs) and (2) physician follow-up after the self-harm visit in Alberta.MethodsA retrospective, population-based cohort (2002–2011) of ED visits for self-harm by individuals <18 years was conducted using administrative databases from Alberta, Canada. Individuals were grouped by First Nations status or type of health care premium subsidy (family receipt of government subsidy, human services program subsidy, no subsidy received). Visits from 104 EDs were summarized by crude and directly standardized visit rates (DSVRs) per 100,000 individuals. Kaplan-Meier estimates for median estimated time to physician follow-up were calculated with 95% confidence intervals (CIs).ResultsDuring the study period, visit rates decreased with the exception of children from families receiving government-sponsored program subsidy (DSVRs 163/100,000 to 250/100,000; p=0.032). First Nations children had disproportionately fewer follow-up visits compared to other children. The median time to follow-up for First Nations children was 39 days (95% CI: 32, 48) compared to 16 days for children from families receiving no subsidy (95% CI: 14, 19), who had the shortest follow-up time after an ED visit.ConclusionsSociodemographic differences were evident in ED visit rates as well as the number of and time to physician follow-up visit. The disparities experienced by First Nations children in the follow-up period highlight an opportunity for culturally-grounded risk and needs assessment in the ED to determine and facilitate timely and appropriate follow-up care.
机译：目的研究（18）在亚伯达省（Alberta）进行自残访问的（1）自残访视率和（2）自残访问后的医师跟进率，以调查18岁以下儿童的社会人口统计学差异。使用加拿大艾伯塔省的行政数据库进行了小于18岁的个人因自我伤害而进行的急诊就诊（2002-2011年）。按照“原住民”身份或医疗保险补贴类型（个人获得政府补贴，人类服务计划补贴，未收到补贴）对个人进行分组。每100,000个人的原始和直接标准化的访问率（DSVR）总结了来自104个ED的访问。 Kaplan-Meier估计的医生随访时间的中位数估计值为95％置信区间（CIs）。结果在研究期间，除了接受政府资助的计划补贴的家庭中的孩子（DSVR 163 / 100,000）外，就诊率均下降了至250 / 100,000; p = 0.032）。与其他儿童相比，原住民儿童的后续随访少得多。原住民儿童的中位随访时间为39天（95％CI：32、48），而没有补贴的家庭（95％CI：14、19）的儿童的随访时间为16天，而这些儿童的随访时间最短。结论ED访视率以及医师随访的次数和时间均具有明显的社会统计学差异。后续阶段原住民儿童所经历的差异突出表明，急诊室有文化背景的风险和需求评估的机会，以确定并促进及时和适当的后续护理。

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