非緊急急診病人特性及其相關因素探討

梁亞文; 蔡哲宏; 陳文意

doi:10.6288/TJPH2011-30-05-10

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P505 - 516

Health & Medical Care > Health Promotion & Hygiene
Health & Medical Care > Social Medicine

DOI： 10.6288/TJPH

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非緊急急診病人特性及其相關因素探討

Non-urgent Emergency Department Use by Patients in a Regional Hospital

梁亞文(Yia-Wun Liang) ；蔡哲宏(Jeffrey Che-Hung Tsai) ；陳文意(Wen-Yi Chen)

台灣公共衛生雜誌； 30卷5期 (2011 / 10 / 15) ， P505 - 516

繁體中文 DOI： 10.6288/TJPH2011-30-05-10

急診；非緊急急診；病人特性；加拿大檢傷分類系統； emergency department ； non-urgent emergency department visits ； patient characteristics ； Canadian Triage and Acuity Scale

Abstract │ Reference (39) │ Times Cited (11) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

This study determined the percentage of non-urgent emergency department (ED) patients and the factors influencing their visits by using the Canadian Triage and Acuity Scale (CTAS). Methods: During the study period, 840 patients presenting at a central Taiwan regional hospital ED were seen by the triage nurses and classified according to the CTAS. Data from 758 patients were analyzed. Non-urgent patients were defined as those who were classified CTAS IV and V. Multivariate logistic regression analysis was performed to identify factors associated with non-urgent ED visits. Results: Of these 758 visits, an estimated 51.97% were non-urgent. Significant factors associated with non-urgent ED patients were: visit days, patients perceptions about the emergency nature of the visit, pain level assigned by the triage nurses, and patient expected waiting time to be seen by a physician. Conclusions: Health administrators should persist in trying to educate people as to how to use ED services properly. In addition, policy makers need to understand that there is an inter-categorical relationship between ED use and other medical services; therefore, development of an integrated delivery system is encouraged along with implementation of policies to improve access to comprehensive, high quality health care services.

Reference ( 39 ) 〈TOP〉

梁亞文、陳芬如、鄭瑛琳(2008)。台灣的可避免住院及其病患社經狀態。台灣衛誌，27，16-23。
連結：
黃金安、賴其勛、胡哲生(2006)。急診醫療服務與其它醫療服務之類別間關係。台灣衛誌，25，384-93。
連結：
Bernstein E, Bernstein J, Lowe RA, et al. Timely access to health care: the critical role of EM, 1997. Available at: http://www.saem.org/inform/access.htm. Accessed December 6, 2008
Page L. Patient bypassing primary doctors for emergency care. Available at: http://www.ama-assn.org/amednews/2001/02/12/bil10212.htm. Accessed May 2, 2009.
Australian Institute of Health and Welfare (AIHW). Australian Hospital Statistics 2003-04. AIHW Catalogue No. HSE37. Canberra: AIHW, 2005.

Times Cited ( 11 ) 〈TOP〉

Altmetrics

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