改善美国创伤系统的护理和公平:过去、现在和未来。

IF 2.1 Q3 CRITICAL CARE MEDICINE
Trauma Surgery & Acute Care Open Pub Date : 2025-05-14 eCollection Date: 2025-01-01 DOI:10.1136/tsaco-2024-001729
Sophia Smith, Dane R Scantling
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引用次数: 0

摘要

美国的创伤护理是分散的,不平等的,数百万人缺乏足够的机会进入创伤中心。这些不平等是历史先例、种族和社会经济歧视以及创伤护理经济学的结果。创伤中心的固定位置也可能无法满足人口流动和变化的需求。此外,目前建立创伤中心的方法将建立创伤中心的任务交给医院,从而使现有的不平等现象长期存在,导致核实和指定过程主要依赖于财务能力,而不是社区需求。这尤其影响到那些社会经济上脆弱的人,因为现有的创伤中心可能无法进入他们的社区,而新的中心可能不会寻求为他们服务。相反,资源充足的社区越来越多地接受重复治疗。彻底了解创伤中心的指定、创伤护理中的社会经济和地理差异之间的相互作用,以及潜在的改变杠杆,对于创伤系统规划更公平的创伤护理至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving care and equity in the American trauma system: past, present and future.

Trauma care in the USA is fragmented, unequal, and millions of people lack adequate access to a trauma center. These inequities are the result of historic precedent, racial and socioeconomic discrimination, and the economics of trauma care. The fixed location of trauma centers may also fail to meet the needs of moving and changing populations. Further, the current methods of trauma center formation perpetuate existing inequity by leaving the pursuit of trauma center creation up to hospitals, resulting in verification and designation processes that are mostly reliant on financial capability rather than community need. This particularly impacts those who are socioeconomically vulnerable, as existing trauma centers may not be accessible to their communities and new centers may not seek to serve them. On the contrary, already well-resourced communities increasingly receive duplicative care. A thorough understanding of the interplay between trauma center designation, socioeconomic and geographic disparities in trauma care-and potential levers for change-is crucial in trauma systems planning for more equitable trauma care.

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来源期刊
CiteScore
3.70
自引率
5.00%
发文量
71
审稿时长
12 weeks
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