增加救护车运输报销对日本医院接收的影响:差异差异研究
Nobuhiro Sato1, Reo Takaku2, Takuyo Chiba3
1Department of Emergency and Critical Care Medicine, Niigata City General Hospital, Niigata, Niigata, Japan s_nobuhiro@hosp.niigata.niigata.jp.
BMJ open
|July 25, 2023
概括
日本的救护车补偿增加导致紧急医疗服务 (EMS) 呼叫减少. 需要进一步的策略来减少EMS电话,并防止重症患者的治疗延迟.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
- 卫生经济学 卫生经济学
背景情况:
- 日本的紧急医疗服务 (EMS) 在确保医院接收时经常遇到挑战.
- 2016年的一项政策增加了在日本的全民医疗保险系统下接受夜间,周日和假日救护车运输的报销.
研究的目的:
- 调查增加救护车运输接收退款对日本EMS呼叫量和患者运输时间的影响.
主要方法:
- 使用2015年4月至2016年12月的国家救护车记录进行了差异差异分析.
- 这项研究比较了夜间的救护车呼叫 (治疗组) 和白天的呼叫 (对照组).
- 测量结果包括每人EMS呼叫,运输时间和救护车运输的变化.
主要成果:
- 对于夜间与白天运输 (95% CI, -0.023至 -0.004) 观察到EMS呼叫的统计学上显著下降 -0.013.
- 运输时间略有减少,为0.080分钟 (95%CI, -0.157至-0.004).
- 没有发现对每 1000 人口的每月救护车运输数量有重大影响.
结论:
- 增加了接受救护车运输的报销,与EMS呼叫量减少有关.
- 需要采取额外的策略,以进一步减少急救服务电话,并减轻重症急诊患者的治疗延迟.
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