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KMID : 0926620190240010011
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Korean Journal of Hospital Management
2019 Volume.24 No. 1 p.11 ~ p.20
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Factors affecting use of the emergency department at superior hospitals on public holidays
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Ahn Byeung-Ki
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Abstract
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The purpose of this study was to identify the factors affecting the use of superior general hospitals on public holidays by using the medical use model (Dutton 's medical use model) with the medical panel data.
The study found that 34.2% of superior general hospital emergency rooms were used on public holidays and the factors which made statistically significant influences on the use of superior general hospital emergency rooms on public holidays were whether patients were operated or emergency care and inspection etc. Also, there was a difference depending on whether the type of establishment of the medical insititution is national or private.
In other words, patients who received emergency care and examinations were found to make more frequent visit to hospital emergency room on pubic holiday ,compared to patients who underwent surgery and those who visited emergency rooms in the private superior general hospital did so, compared to those who visited emergency room in the national general hospital(OR, 4.4, 3.386, respectively).
Therefore, it is necessary to consider the introduction of integrated care of health and social care medical service that focuses on primary care in Denmark, which focuses on patients, and pre-The Canadian Triage and Acuity Scale(pre-CTAS) in the UK.
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KEYWORD
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inappropriate emergency room utilization, public holidays, integrated care of health and social care medical service, pre-CTAS, Korean Health Pane
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