ED utilization: The effect of changing edemographics from 1992 to 2000
ED utilization: The effect of changing edemographics from 1992 to 2000
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DOI：
10.1053/ajem.2002.35462
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发表时间：
2002-11-01
影响因子：
3.6
通讯作者：
Meggs, W
中科院分区：
文献类型：
--
作者：
Reeder, T;Locascio, E;Meggs, W
为了探讨急诊科（艾德）利用率增加的因素，本回顾性病历分析比较了1992年和2000年农村三级医疗中心2周内的艾德就诊情况。总艾德就诊人数在两个时期之间增加了455人（增加%= 28.6%），而县人口增加了18,253人（增加%= 16.1%）（P < 0.005）。平均年龄从35.2 +/- 23.8岁增加到40.1 +/- 23.6岁（95%置信区间，平均差异为3.34至6.45）。80岁以上患者增加了83%，而90岁以上患者增加了138%。住院率由21.9%提高到25.6%（P < 0.005）。以医疗保险为基本保险的患者由17.9%上升到23.6%（P < 0.005）。本研究中，人群年龄增加、4种不同测量结果显示的敏锐度增加以及初级保健医生的访问受限均导致艾德需求增加。版权所有2002，爱思唯尔科学（美国）。All rights reserved.
To explore factors contributing to increased emergency department (ED) utilization, this retrospective chart review compared ED visits for a 2-week period in both 1992 and 2000 at a rural, tertiary medical center. Total ED visits increased 455 between the periods (% increase = 28.6%), whereas county population increased 18,253 (% increase = 16.1%) (P < 0.005). Average age increased from 35.2 +/- 23.8 years to 40.1 +/- 23.6 years (95% confidence interval, difference of means, 3.34 to 6,45). Patients over 80 years increased by 83%, whereas those over 90 years increased 138%. The admission rate, increased from 21.9% to 25.6% (P < 0.005). Patients with Medicare as primary insurance increased from 17.9% to 23.6% (P < 0.005). Increased age of the population, increased acuity as shown by 4 different measurements, and limited access to primary care physicians all contributed to increased ED demand in this study. Copyright 2002, Elsevier Science (USA). All rights reserved.