Transfers to a public hospital. A prospective study of 467 patients.
Transfers to a public hospital. A prospective study of 467 patients.
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转院至公立医院。
DOI：
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发表时间：
1986
影响因子：
158.5
通讯作者：
S. Whitman
中科院分区：
文献类型：
--
作者：
R. Schiff;D. Ansell;J. Schlosser;A. Idris;A. Morrison;S. Whitman
近年来，转移到美国公立医院的患者数量急剧增加。我们前瞻性地研究了 467 名内科和外科患者，他们从芝加哥地区其他医院的急诊科转移到库克县医院并随后入院。 89% 的转移患者是黑人或西班牙裔，81% 失业。大多数（87％）因为缺乏足够的医疗保险而被转移。只有 6% 的患者签署了转院的书面知情同意书。 22% 的人通常需要在抵达后 24 小时内进入重症监护病房。百分之二十四的人在转移医院的临床状况不稳定。转移医疗患者死亡比例为9.4%，显着高于未转移医疗患者比例（3.8%，P小于0.01）。被转移的患者和未被转移的患者之间因外科服务死亡的比例没有显着差异（1.5% vs. 2.4%）。我们得出的结论是，患者转入公立医院主要是出于经济原因，尽管事实上许多患者在转院时病情不稳定。
In recent years there has been a dramatic increase in the number of patients transferred to public hospitals in the United States. We prospectively studied 467 medical and surgical patients who were transferred from the emergency departments of other hospitals in the Chicago area to Cook County Hospital and subsequently admitted. Eighty-nine percent of the transferred patients were black or Hispanic, and 81 percent were unemployed. Most (87 percent) were transferred because they lacked adequate medical insurance. Only 6 percent of the patients had given written informed consent for transfer. Twenty-two percent required admission to an intensive care unit, usually within 24 hours of arrival. Twenty-four percent were in an unstable clinical condition at the transferring hospital. The proportion of transferred medical-service patients who died was 9.4 percent, which was significantly higher than the proportion of medical-service patients who were not transferred (3.8 percent, P less than 0.01). There was no significant difference in the proportion of deaths on the surgical service between patients who were transferred and those who were not (1.5 vs. 2.4 percent). We conclude that patients are transferred to public hospitals predominantly for economic reasons, in spite of the fact that many of them are in an unstable condition at the time of transfer.
影响因子：
158.5
作者：
SEELIG, JM;BECKER, DP;CHOI, SC
通讯作者：
CHOI, SC