Emergency Department Crowding Disparity: a Nationwide Cross-Sectional Study
Journal of Korean Medical Science
; : 1331-1336, 2016.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-143602
Biblioteca responsável:
WPRO
ABSTRACT
In this study, we evaluated national differences in emergency department (ED) crowding to identify factors significantly associated with crowding in institutes and communities across Korea. This was a cross-sectional nationwide observational study using data abstracted from the National Emergency Department Information System (NEDIS). We calculated mean occupancy rates to quantify ED crowding status and divided EDs into three groups according to their occupancy rates (cutoffs 0.5 and 1.0). Factors potentially related to ED crowding were collected from the NEDIS. We performed a multivariate regression analysis to identify variables significantly associated with ED crowding. A total of 120 EDs were included in the final analysis. Of these, 73 were categorized as 'low crowded' (LC, occupancy rate < 0.50), 37 as 'middle crowded' (MC, 0.50 ≤ occupancy rate < 1.00), 10 EDs as 'high crowded' (HC, 1.00 ≤ occupancy rate). The mean ED occupancy rate varied widely, from 0.06 to 2.33. The median value was 0.39 with interquartile ranges (IQRs) from 0.20 to 0.71. Multivariate analysis revealed that after adjustment, ED crowding was significantly associated with the number of visits, percentage of patients referred, number of nurses, and ED disposition. This nationwide study observed significant variety in ED crowding. Several input, throughput, and output factors were associated with crowding.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Arranjos de Entrega
/
Objetivo 1: Acesso equitativo aos serviços de saúde
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Objetivo 11 Desigualdades e iniquidades na saúde
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Objetivo 6: Sistemas de informação em saúde
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Estudos Transversais
/
Transferência de Pacientes
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Bases de Dados Factuais
/
Serviço Hospitalar de Emergência
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República da Coreia
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Hospitalização
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Enfermeiras e Enfermeiros
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
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Estudo prognóstico
/
Fatores de risco
Aspecto:
Equidade e iniquidade
Limite:
Adolescente
/
Adulto
/
Idoso
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Journal of Korean Medical Science
Ano de publicação:
2016
Tipo de documento:
Artigo