Disparities in access to healthcare services in a regional neonatal transport network

IF 2.5 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL International Journal of Industrial Ergonomics Pub Date : 2023-12-05 DOI:10.1016/j.ergon.2023.103526
Taylor Riley , Rachel Umoren , Annabelle Kotler , John Feltner , Zeenia Billimoria , Jasmine James , Adithi Mahankali , Cailin White , Ivana Brajkovic , Megan M. Gray
{"title":"Disparities in access to healthcare services in a regional neonatal transport network","authors":"Taylor Riley ,&nbsp;Rachel Umoren ,&nbsp;Annabelle Kotler ,&nbsp;John Feltner ,&nbsp;Zeenia Billimoria ,&nbsp;Jasmine James ,&nbsp;Adithi Mahankali ,&nbsp;Cailin White ,&nbsp;Ivana Brajkovic ,&nbsp;Megan M. Gray","doi":"10.1016/j.ergon.2023.103526","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>The disproportionate distribution of healthcare resources in the U.S. leads to an annual estimated 68,000 critically-ill newborns transported to regional centers for intensive care. As described in the Systems Engineering Initiative for Patient Safety (SEIPS) 3.0 framework, patients with limited access to healthcare experience multiple healthcare settings in their journey to specialty care. Little is known about community resources for transported neonatal patients in the Pacific Northwest region.</p></div><div><h3>Methods</h3><p>Transport data from January 2014–December 2019 identified referral zip codes for transfers to a regional neonatal intensive care unit (NICU). Using the SEIPS 3.0 framework to explore the journey of families experiencing neonatal complications, we linked referral zip codes to data on healthcare and resource access including: Health Transportation Shortage Index (HTSI); US Census Small Area Income and Poverty Estimates; public transportation availability; Health Professional Shortage Area (HPSA) and number of Federally Qualified Health Centers.</p></div><div><h3>Results</h3><p>1834 neonatal transports from 75 zip codes were analyzed. Forty percent of patients were transferred from a HPSA, one-quarter from areas with limited public transit availability (28%) and household internet access (24%). Almost all infants transferred from a high HTSI area (96%) were transported by air.</p></div><div><h3>Conclusion</h3><p>Many patients were referred from communities with high poverty and limited services. Improving patient outcomes requires population and policy level recommendations and care coordination between healthcare organizations and community services. Considering the patient family perspective within the SEIPS 3.0 framework will ensure patient centered care and an inclusive experience for families transitioning through healthcare settings.</p></div>","PeriodicalId":50317,"journal":{"name":"International Journal of Industrial Ergonomics","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Industrial Ergonomics","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S016981412300118X","RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENGINEERING, INDUSTRIAL","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction

The disproportionate distribution of healthcare resources in the U.S. leads to an annual estimated 68,000 critically-ill newborns transported to regional centers for intensive care. As described in the Systems Engineering Initiative for Patient Safety (SEIPS) 3.0 framework, patients with limited access to healthcare experience multiple healthcare settings in their journey to specialty care. Little is known about community resources for transported neonatal patients in the Pacific Northwest region.

Methods

Transport data from January 2014–December 2019 identified referral zip codes for transfers to a regional neonatal intensive care unit (NICU). Using the SEIPS 3.0 framework to explore the journey of families experiencing neonatal complications, we linked referral zip codes to data on healthcare and resource access including: Health Transportation Shortage Index (HTSI); US Census Small Area Income and Poverty Estimates; public transportation availability; Health Professional Shortage Area (HPSA) and number of Federally Qualified Health Centers.

Results

1834 neonatal transports from 75 zip codes were analyzed. Forty percent of patients were transferred from a HPSA, one-quarter from areas with limited public transit availability (28%) and household internet access (24%). Almost all infants transferred from a high HTSI area (96%) were transported by air.

Conclusion

Many patients were referred from communities with high poverty and limited services. Improving patient outcomes requires population and policy level recommendations and care coordination between healthcare organizations and community services. Considering the patient family perspective within the SEIPS 3.0 framework will ensure patient centered care and an inclusive experience for families transitioning through healthcare settings.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
在区域新生儿运输网络中获得保健服务的差距
在美国,医疗资源的不成比例分布导致每年估计有68,000名危重新生儿被运送到地区中心进行重症监护。正如患者安全系统工程计划(SEIPS) 3.0框架中所描述的那样,获得医疗保健的机会有限的患者在获得专业护理的过程中会经历多种医疗保健设置。对于太平洋西北地区运送新生儿患者的社区资源了解甚少。方法2014年1月至2019年12月的stransport数据确定了转至地区新生儿重症监护病房(NICU)的转诊邮政编码。使用SEIPS 3.0框架来探索经历新生儿并发症的家庭之旅,我们将转诊邮政编码与医疗保健和资源获取数据联系起来,包括:卫生运输短缺指数(HTSI);美国人口普查小地区收入和贫困估算;公共交通的可用性;卫生专业人员短缺地区(HPSA)和联邦合格卫生中心的数量。结果对来自75个邮政编码的1834例新生儿转运进行了分析。40%的患者来自HPSA,四分之一的患者来自公共交通有限的地区(28%)和家庭互联网接入有限的地区(24%)。几乎所有从高HTSI地区转移的婴儿(96%)都是通过空运转移的。结论许多患者来自高贫困社区和服务有限的社区。改善患者预后需要人口和政策层面的建议以及医疗保健组织和社区服务之间的护理协调。在SEIPS 3.0框架内考虑患者家庭的观点,将确保以患者为中心的护理,并为家庭提供通过医疗保健环境过渡的包容性体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
International Journal of Industrial Ergonomics
International Journal of Industrial Ergonomics 工程技术-工程:工业
CiteScore
6.40
自引率
12.90%
发文量
110
审稿时长
56 days
期刊介绍: The journal publishes original contributions that add to our understanding of the role of humans in today systems and the interactions thereof with various system components. The journal typically covers the following areas: industrial and occupational ergonomics, design of systems, tools and equipment, human performance measurement and modeling, human productivity, humans in technologically complex systems, and safety. The focus of the articles includes basic theoretical advances, applications, case studies, new methodologies and procedures; and empirical studies.
期刊最新文献
Assessing the link between occupational risk factors, work-related musculoskeletal disorders and quality of work life: An analysis using PLS-SEM Ergonomic design of mastectomy bra based on emotion measurements Sedentary behavior and musculoskeletal symptoms among work from home employees Research on similarity bias in dual objective visual search based on nuclear power human-machine interface icons The impact of camera-monitor system viewing angles on drivers’ distance perception: A simulated driving study
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1