Effectiveness of hospital emergency department regionalization and categorization policy on appropriate patient emergency care use: a nationwide observational study in Taiwan.

作者: Chih-Yuan Lin , Yue-Chune Lee

DOI: 10.1186/S12913-020-06006-7

关键词:

摘要: BACKGROUND Emergency department (ED) overcrowding is a health services issue worldwide. Modern policy emphasizes appropriate utilization. However, the relationship between accessibility, capability, and appropriateness of ED use unknown. Thus, this study aimed to examine effect hospital regionalization categorization emergency capability (categorization policy) on patient-appropriate use. METHODS Taiwan implemented nationwide three-tiered policies in 2007 2009, respectively. We conducted retrospective observational care intervention patient visit. Between 2005 2011, National Health Insurance Research Database recorded 1,835,860 visits from 1 million random samples. were categorized using Yang-Ming modified New York University-ED algorithm. A time series analysis was performed change rate after implementation. RESULTS From total increased by 10.7%. After implementation, average visit 66.9%. The had no significant trend rate. CONCLUSIONS Although did increase it Further research required improve data-driven policymaking.

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