ACİL SERVİSE MÜRACAAT EDEN HASTALARIN AİLE HEKİMLİĞİ BAKIŞ AÇISIYLA DEĞERLENDİRİLMESİ

Amaç: Acil servislerin gerçek kullanılma nedenleri dışında uygunsuz kullanılması her geçen gün artmakta ve acil servislerin işleyişini bozmaktadır. Çalışmamızda Acil Servise müracaat eden hastaların bir yıllık verileri incelenerek, bu hastaların son tanılarına göre, ne kadarının acil servisleri uygun kullandığını belirlemek ve bu konuda oluşturulacak yeni politikalara yardımcı olmak amaçlanmıştır. Materyal ve Metot: 1 Ocak -31 Aralık 2017 tarihleri arasında hastanemiz acil servisine müracaat eden hastaların dosyaları incelenmiştir. Veriler SPSS 22 programı ile değerlendirilmiş, analizde Ki-kare testi kullanılmıştır. Anlamlılık değeri p

EVALUATION OF PATIENTS ADMISSING EMERGENCY CARE SERVICES FROM THE POINT OF VIEW OF FAMILY MEDICINE

Objectives: Inappropriate use of Emergency Department (ED) for non-urgent complaints compromises thefunctioning of ED and has been increasing day by day. In this study, we examined the annual data of the patientswho admitted to the Emergency Department in order to determine the ratio of appropriate usage according tothe definitive diagnoses of the patients and to help forward new policies regarding this issue.Materials and Methods: Files of patients, who admitted to our ED between January 1 and December 31 , 2017,were examined. Data were evaluated by SPSS software version 22 , and the analyses were performed by usingthe Chi-square test. A value of p

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  • 1. Carret ML, Fassa AC, Domingues MR. Inappropriate use of emergency services: a systematic review of prevalence and associated factors Cad Saude Publica. 2009 Jan;25(1):7- 28.
  • 2. Gill JM. Use of hospital emergency department for non-urgent care: a persistent problem with no easy solutions. Am J Manag Care 1999;5:1565-8.
  • 3. Plauth AE, Pearson SD. Discontinuity of care: urgent care utilization within a health maintenance organization. Am J Manag Care 1998;4:1531-7.
  • 4. Carret ML, Fassa AG, Kawachi İ. Demand for emergency health service: factors associated with inappropriate use BMC Health Services Research 2007;7:131 (doi:10.1186/1472-6963-7-131).
  • 5. Roberts E, Mays N. Can primary care and community- based models of emergency care substitute for the hospital accident and emergency (A & E) department? Health Policy 1998;44:191 -214.
  • 6. Cunningham PJ. What accounts for differences in the use of hospital emergency departments across US communities? Health Aff (Millwood). 2006;25:324–36.
  • 7. Lowe RA, Localio AR, Schwarz DF, et al. Association between primary care practice characteristics and emergency department use in a Medicaid managed care organization. Med Care. 2005;43:792– 800.
  • 8. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med 2002;39:238-47.
  • 9. 2017 Yılı Ocak-Ekim Dönemi Acil Servislere İlişkin Veriler: Türkiye Kamu Hastaneleri Genel Müdürlüğü İstatistik, Analiz, Raporlama ve Stratejik Yönetim Dairesi Başkanlığı verileri Aralık 2017. [İnternet]; Available from: https://dosyamerkez.saglik.gov.tr/Eklenti/23496,2017-ocak-ekim-donemi-acil-servisverileri2pdf.pdf?0 (Erişim tarihi: 13.12.2018).
  • 10. Wachter R M, Goldman L. The hospitalist movement 5 years later. JAMA 2002;287(4):487-94.
  • 11. Mc Whinney, I. R. ve Freeman, T. (2009). Textbook of Family Medicine. United Kingdom: Oxford University Press, Inc.
  • 12. Derlet RW: Overcrowding in emergency departments: increased demand and decreased capacity. Ann Emerg Med 2002;39(4):430-2.
  • 13. Oktay C, Cete Y, Eray O, Pekdemir M, Gunerli A: Appropriateness of emergency department visits in a Turkish university hospital. Croat Med J 2003;44(5):585 -91.
  • 14. Afilalo J, Marinovich A, Afilalo M, Colacone A, Leger R, Unger B, Giguere C: Nonurgent emergency department patient characteristics and barriers to primary care. Acad Emerg Med 2004,11(12):1302 -10.
  • 15. Bianco A, Pileggi C, Angelillo IF. Non-urgent visits to a hospital emergency department in Italy. Public Health 2003;117:250-5.
  • 16. Lang T, Davido A, Diakite B, Agay E, Viel JF, Flicoteaux B: Using the hospital emergency department as a regular source of care. Eur J Epidemiol 1997;13(2):223-8.
  • 17. Shah NM, Shah MA, Behbehani J: Predictors of non-urgent utilization of hospital emergency services in Kuwait. Soc Sci Med 1996;42(9):1313-23.
  • 18. Rajpar SF, Smith MA, Cooke MW. Study of choice between accident and emergency departments and general practice centres for out of hours primary care problems. J Accid Emerg Med 2000;17:18-21.
  • 19. Finn JC, Flicker L, Mackenzie E, Jacobs IG, Fatovich DM, Drummond S, et al. Interface between residential aged care facilities and a teaching hospital emergency department in Western Australia. Med J Aust 2006; 184:432-5.
  • 20. Lowe RA Fu R, Ong ET, McGinnis PB, Fagnan LJ, Vuckovic N, Gallia C. Community Characteristics Affecting Emergency Department Use by Medicaid Enrollees. Medical Care 2009;47(1):15 -22.
  • 21. Lowe RA, Bindman AB. Judging who needs emergency department care: a prerequisite for policymaking. Am J Emerg Med 1997;15:133-6.
  • 22. Bezzina AJ, Smith PB, Cromwell D, Eagar K. Primary care patients in the emergency department: who are they? A review of the definition of the “primary care patient” in the emergency department. Emerg Med Australas 2005;17:472-9.
  • 23. Young GP, Wagner MB, Kellermann AL, Ellis J, Bouley D. Ambulatory visits to hospital emergency departments. Patterns and reasons for use. 24 Hours in the ED Study Group. JAMA 1996;276:460-5.
  • 24. Coleman EA, Eilertsen TB, Kramer AM, Magid DJ, Beck A, Conner D. Reducing emergency visits in older adults with chronic illness. A randomized, controlled trial of group visits. Eff Clin Pract 2001;4:49-57.
  • 25. Stein AT, Harzheim E, Costa M, Busnello E, Rodrigues LC: The relevance of continuity of care: a solution for the chaos in the emergency services. Fam Pract 2002,19(2):207-10.
  • 26. Mendoza-Sassi R, Beria JU: [Health services utilization: a systematic review of related factors]. Cad Saude Publica 2001,17(4):819-32.
  • 27. Tang N, Stein J, Hsia RY, Maselli JH, Gonzales R. 2010. Trends and characteristics of US emergency department visits, 1997–2007. JAMA 304:664–70.
  • 28. Mortensen K. 2010. Copayments did not reduce Medicaid enrollees’ nonemergency use of emergency departments. Health Affairs 29:1643–50.
  • 29. Centers for Medicare and Medicaid Services. 2013a. Cost sharing out of pocket costs [Online]. Available from: http:// www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Cost-Sharing/CostSharing-Out-of-Pocket-Costs. html
  • 30. Kaiser Family Foundation. 2012. Governors’ budgets for FY 2013 — what is proposed for Medicaid? [Internet] . Available from: http://www.kff.org/medicaid/upload/8294.pdf
  • 31. Saloner B, Sabik L, Sommers BD. 2014. Pinching the poor? Medicaid cost sharing under the ACA. New England Journal of Medicine 370:1177–80.
  • 32. Billings J, Parikh N, Mijanovich T. Emergency department use in New York city: a substitute for primary care? Issue Brief (Commonw Fund). 2000:1–5.
  • 33. Capp R, Kelley L, Ellis P, Carmona J, Lofton A, et al. Reasons for Frequent Emergency Department Use by Medicaid Enrollees: A Qualitative Study. Academıc Emergency Medıcıne 2016;23:476–81.
  • 34. Kılıçaslan İ, Bozan H, Oktay C, Göksu E. Demographic properties of patients presenting to the emergency department in Turkey Turkish Journal of Emergency Medicine 2005;5(1):5-13. (In Turkısh)
  • 35. Ersel M, Karcıoğlu Ö, Yanturalı S, Yürüktümen A, Sever M, Tunç MA. Emergency Department utilization characteristics and evaluation for patient visit appropriateness from the patients’ and physicians’ point of view. Turkish Journal of Emergency Medicine 2006;6(1):25-35. (In Turkısh)
  • 36. Karadağ B, Çat H, Öztürk AO, Basat O, Altuntaş, Y. Patient profile of patients who were admitted to the emergency polyclinic and who received observation: Three-year study. Akademik Geriatri Dergisi 2010; 2(2):176-85. (In Turkısh)
  • 37. Vanpee D, Swine C, Vandenbossche P, Gillet JB. Epidemiological profile of geriatric patients admitted to the emergency department of a university hospital localized in a rural area. Eur J Emerg Med 2001; 8: 301 - 4.
Ankara Medical Journal-Cover
  • Yayın Aralığı: 4
  • Başlangıç: 2014
  • Yayıncı: Ankara Yıldırım Beyazıt Üniversitesi Tıp Fakültesi
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