伤害模式的变化与紧急部门的开放访问相比,强制性,转介访问的伤害模式的变化
Emma Melchiorsen1, Niels Dieter Rck1, Jens Lauritsen1,2
1The Orthopedic Department, Odense University Hospital.
Danish medical journal
|March 6, 2024
概括
实施强制性转诊减少了对事故和紧急情况 (A和E) 部门的总体访问. 指导访问减少了A和E访问,增加了与会者严重受伤的几率.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 事故和紧急 (A和E) 部门面临的挑战是患者流动和资源分配.
- 访问政策对患者人口统计和A和E设置中的伤害严重程度的影响需要调查.
研究的目的:
- 评估强制转诊到事故和紧急情况 (A&E) 部门是如何影响患者特征的.
- 评估受伤严重程度,患者人口统计和强制转诊实施后受伤时的活动变化.
主要方法:
- 一项回顾性队列研究分析了丹麦奥登斯大学医院 (2008-2019) 的A和E数据.
- 患者被分为三个时期:强制转诊实施前期,过渡期和实施后期.
- 发病率比率和几率被计算出来,以比较不同时期的患者群体.
主要成果:
- 与实施前期相比,在实施后期访问A和E部门的总体风险下降了18%.
- 虽然严重伤害的绝对数量下降,但轻微伤害的下降率更高.
- 访问因重大伤害而导致的概率在推访问实施后增加.
结论:
- 从开放接入到引用接入的过渡大大改变了A和E部门的患者组成.
- 指导访问与A和E访问的总体风险较低,但重伤的比例较高.
- 在获得紧急护理方面的政策变化可以有效地管理患者数量,并可能改变与会者的严重程度.
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