Impact of Regional Cardiocerebrovascular Centers on Myocardial Infarction Patients in Korea: A Fixed-effects Model / 예방의학회지
Korean Journal of Preventive Medicine
;
: 21-29, 2019.
Artigo
em Inglês
| WPRIM
| ID: wpr-740719
ABSTRACT
OBJECTIVES:
The Regional Cardiocerebrovascular Center (RCCVC) Project designated local teaching hospitals as RCCVCs, in order to improve patient outcomes of acute cardiocerebrovascular emergencies by founding a regional system that can adequately transfer and manage patients within 3 hours. We investigated the effects of RCCVC establishment on treatment volume and 30-day mortality.METHODS:
We constructed a panel dataset by extracting all acute myocardial infarction cases that occurred from 2007 to 2016 from the Health Insurance Review and Assessment Service claims data, a national and representative source. We then used a panel fixed-effect model to estimate the impacts of RCCVC establishment on patient outcomes.RESULTS:
We found that the number of cases of acute myocardial infarction that were treated increased chronologically, but when the time effect and other related covariates were controlled for, RCCVCs only significantly increased the number of treatment cases of female in large catchment areas. There was no statistically significant impact on 30-day mortality.CONCLUSIONS:
The establishment of RCCVCs increased the number of treatment cases of female, without increasing the mortality rate. Therefore, the RCCVCs might have prevented potential untreated deaths by increasing the preparedness and capacity of hospitals to treat acute myocardial infarction patients.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Avaliação de Programas e Projetos de Saúde
/
Mortalidade
/
Atenção à Saúde
/
Emergências
/
Avaliação do Impacto na Saúde
/
Conjunto de Dados
/
Hospitais de Ensino
/
Seguro Saúde
/
Coreia (Geográfico)
/
Infarto do Miocárdio
Tipo de estudo:
Estudos de avaliação
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Korean Journal of Preventive Medicine
Ano de publicação:
2019
Tipo de documento:
Artigo
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