Important historical efforts at emergency department categorization in the United States and implications for regionalization.
Important historical efforts at emergency department categorization in the United States and implications for regionalization.
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美国急诊科分类的重要历史努力及其对区域化的影响。
DOI：
10.1111/j.1553-2712.2010.00931.x
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
R. Myles Riner
中科院分区：
文献类型：
--
作者：
A. Mehrotra;D. Sklar;V. Tayal;K. Kocher;D. Handel;R. Myles Riner
本文摘自为美国急诊医师学会（ACEP）急诊科（艾德）分类工作组创建的报告，并反映了2010年学术急诊医学共识会议“超越区域化：急诊护理综合网络”上的分组会议“超越艾德分类-匹配网络与患者需求”的会议记录。作者描述了国家和州在分类方面所做的重大努力的简要历史，并提出了许多这些努力未能坚持或获得更广泛实施的原因。对医院（和艾德）急诊服务进行分类的历史表明，人们认识到了分类的潜在好处，但也反映出，通过许可ED或指定接收和转诊设施，实施完整的分类系统或有限的分类范围一再失败。了解医院和艾德分类的历史可以更好地为当前制定分类方案和流程的努力提供信息。
This article is drawn from a report created for the American College of Emergency Physicians (ACEP) Emergency Department (ED) Categorization Task Force and also reflects the proceedings of a breakout session, "Beyond ED Categorization-Matching Networks to Patient Needs," at the 2010 Academic Emergency Medicine consensus conference, "Beyond Regionalization: Integrated Networks of Emergency Care." The authors describe a brief history of the significant national and state efforts at categorization and suggest reasons why many of these efforts failed to persevere or gain wider implementation. The history of efforts to categorize hospital (and ED) emergency services demonstrates recognition of the potential benefits of categorization, but reflects repeated failures to implement full categorization systems or limited excursions into categorization through licensing of EDs or designation of receiving and referral facilities. An understanding of the history of hospital and ED categorization could better inform current efforts to develop categorization schemes and processes.