지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives: This study aimed to test our hypothesis that a raise in the emergency fee implemented on March 1, 2013 has increased the proportion of patients with emergent symptoms by discouraging non-urgent emergency department visits.
Methods: We conducted an analysis of 728 736 patients registered in the National Emergency Department Information System who visited level 1 and level 2 emergency medical institutes in the two-month time period from February 1, 2013, one month before the raise in the emergency fee, to March 31, 2013, one month after the raise. A difference-in-difference method was used to estimate the net effects of a raise in the emergency fee on the probability that an emergency visit is for urgent conditions.
Results: The percentage of emergency department visits in urgent or equivalent patients increased by 2.4% points, from 74.2% beforeto 76.6% after the policy implementation. In a group of patients transferred using public transport or ambulance, who were assumedto be least conscious of cost, the change in the proportion of urgent patients was not statistically significant. On the other hand, the probability that a group of patients directly presenting to the emergency department by private transport, assumed to be most conscious of cost, showed a 2.4% point increase in urgent conditions (p<0.001). This trend appeared to be consistent across the level 1 and level 2 emergency medical institutes.
Conclusions: A raise in the emergency fee implemented on March 1, 2013 increased the proportion of urgent patients in the total emergency visits by reducing emergency department visits by non-urgent patients.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Arnold JL / 1998 / The recent development of emergency medicine in South Korea / Ann Emerg Med 32 (6) : 730 ~ 735
Becker DJ / 2013 / Co-payments and the use of emergency department services in the children’s health insurance program / Med Care Res Rev 70 (5) : 514 ~ 530
Benitez MA / 2002 / Hong Kong tackles health-service overload by charging emergency fee / Lancet 360 (9347) : 1757 ~
Hoot NR / 2008 / Systematic review of emergency department crowding: causes, effects, and solutions / Ann Emerg Med 52 (2) : 126 ~ 136
Hsu J / 2006 / Cost-sharing for emergency care and unfavorable clinical events: findings from the safety and financial ramifications of ED copayments study / Health Serv Res
Becker DJ / 2013 / Co-payments and the use of emergency department services in the children’s health insurance program / Med Care Res Rev 70 (5) : 514 ~ 530
Benitez MA / 2002 / Hong Kong tackles health-service overload by charging emergency fee / Lancet 360 (9347) : 1757 ~
Hoot NR / 2008 / Systematic review of emergency department crowding: causes, effects, and solutions / Ann Emerg Med 52 (2) : 126 ~ 136
Hsu J / 2006 / Cost-sharing for emergency care and unfavorable clinical events: findings from the safety and financial ramifications of ED copayments study / Health Serv Res
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