Geography of ED Use and Population Health
Statewide Analysis of Emergency Department Use for Determining Geographic Patterns of Emergency Care Use, Hospital Choice and Measures of Population Health.
研究概览
详细说明
The purpose of this study is to analyze the geographic patterns of emergency department utilization. This study will look at the relationship that geographic proximity and local population factors have on patient use of emergency departments. Geographic proximity of alternative hospitals and elicit other patient and hospital specific factors, such as demographic, insurance type, diagnosis, and socioeconomic factors that lead patients to choose specific hospitals for emergency care or generally lead to patients accessing emergency care will be compared.
Patterns of emergency department utilization by patients will be identified in specific geographies such as Census tracts to determine clusters of high and low emergency department use. We also analyze the patterns of emergency care use based on specific disease conditions.Investigators will analyze the rate of emergency department use for patients with diabetes to determine population prevalence of diseases using emergency department data. Studying the pattern of use by specific geographies or disease conditions will also allow us to understand how emergency department use varies among populations by geographies and the socioeconomic and health care factors local to those regions.
研究类型
注册 (实际的)
联系人和位置
学习地点
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New York
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New York、New York、美国、10016
- New York University School of Medicine
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- Patients visiting an emergency department in New York State
Exclusion Criteria:
- Depending on the population analyzed, may exclude some subpopulations such as children (in order study adults), prisoners or patients transferred from other healthcare facilities (in order to study non-institutionalized individuals).
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
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Patients visiting an emergency department in New York State
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The Statewide Planning and Research Cooperative System (SPARCS) is a comprehensive data reporting system created to collect information on discharges from hospitals.
SPARCS currently collects patient level detail on patient characteristics, diagnoses and treatments, services, and charges for every hospital discharge, ambulatory surgery patient, and emergency department admission in New York State.
其他名称：
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Emergency Deparrtment (ED) visit by a patient
大体时间：1 Day
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In order to identify repeat ED visits by the same individual, unique identifiers within SPARCS match visits by the same individual throughout the study period
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1 Day
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Surveillance of Disease Prevalence
大体时间：1 Day
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Proportion of individuals who recieve a given diagnosis like diabetes during any emergency department visit including emergency inpatient admissions.
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1 Day
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Extension to Other Disease Conditions and Geographies
大体时间：1 Day
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Analysis of how disease prevalence can be measured at the level of the entire state.
Populations will be stratified based on geography.
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1 Day
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Hospital Selection
大体时间：1 Day
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Identification of the selection of a given hospital by patients based on facility codes contained within the SPARCS database.
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1 Day
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合作者和调查者
调查人员
- 首席研究员：David Lee, MD、NYU Langone Health
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
药物和器械信息、研究文件
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研究美国 FDA 监管的设备产品
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