Valoración del uso que hace la población inmigrante de un servicio de urgencias hospitalario
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Bibliographic record
Abstract
espanolOBJETIVOS: Determinar las caracteristicas del uso que hace la poblacion inmigrante, comparada con la autoctona, de un servicio de urgencias hospitalario (SUH), especialmente en lo que se refiere a la gravedad y el tipo de patologia por los que consulta. METODOLOGIA: Estudio observacional descriptivo y prospectivo, durante 15 dias consecutivos. Se recogio: edad, sexo, pais de nacimiento, gravedad de urgencia medido por la escala de triaje canadiense, tipo de patologia y franja horaria de la visita. RESULTADOS: Consultaron en el SUH 5.660 pacientes, 792 de ellos extranjeros (14,2%), preferentemente latinoamericanos (520, 9,3%). Este porcentaje fue muy similar al de extranjeros empadronados en la zona de cobertura del SUH. No existen diferencias estadisticamente significativas entre la poblacion inmigrante y la autoctona en cuanto al sexo (en ambas consultan mas las mujeres), la gravedad del proceso por el que consultan (ambas consultan con mayor frecuencia por patologia banal) ni el dia de la semana que lo hacen (ambas consultan mas los dias laborables). Sin embargo, la poblacion inmigrante que consulta al SUH es significativamente mas joven (p = 0,001), consulta mas por patologia ginecologica y digestiva (p CONCLUSIONES: La frecuentacion de un SUH es igual en la poblacion autoctona y en la inmigrante, y la gravedad de los procesos por los que lo hacen es similar, aunque la poblacion inmigrante que acude al SUH es mas joven, lo hace mas en horario nocturno y mas por procesos ginecologicos y digestivos. EnglishOBJECTIVES: To compare the use of hospital emergency services by immigrant and Spanish national populations, particularly with regard to severity and type of health problem for which care is sought. METHODS: Prospective, descriptive, observational study carried out on 15 consecutive days. We recorded the following data: age, sex, country of origin, severity of the emergency on the Canadian Triage and Acuity Scale, type of complaint, and time of visit. RESULTS: A total of 5660 patients were attended during the study period. Of that total, 792 were immigrants (14.2%) According to municipal records, this percentage was very similar to the proportion of registered foreign residents in the area served by the hospital's emergency service. The largest group of immigrants was of Latin American origin (520 [9.3%]). There were no statistically significant differences between the immigrant and Spanish national emergency service users with regard to sex (more women attended in both groups), severity of the emergency situation (simple complaints were most common in both groups), or day of the week when visits occurred (both sought emergency care mainly on week days). However, the immigrant users were significantly younger (P=.001), consulted more often with gynecological or digestive complaints (P CONCLUSIONS: Immigrants and Spanish national patients use the emergency department in the same way. The severity of complaints is similar, although the immigrant users are younger and seek emergency care more often at night and for gynecologic or digestive complaints.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.025 | 0.008 |
| Meta-epidemiology (narrow) | 0.004 | 0.004 |
| Meta-epidemiology (broad) | 0.004 | 0.003 |
| Bibliometrics | 0.002 | 0.005 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.004 | 0.001 |
| Research integrity | 0.006 | 0.009 |
| Insufficient payload (model declined to judge) | 0.032 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it