在控制醫院固定效果後，實證結果發現隨著觀察疾病不同，在醫學中心及非醫學中心的觀察結果也會不同，而台灣急診室普遍存在夜間效應，週末效應並不明顯。 ;The medical manpower sufficiency varies among different time slots of a day. Patients hope that they can get sufficient medical resources whenever we need medical care, so this article aims to explore whether admission to an emergency care unit during off-hours or weekend is associated with a worse outcome. In this study, we extracted the emergency care cases of patients with AMI, ischemic stroke, hemorrhagic stroke and pneumothorax from 2010-2013 National Health Insurance database. We used 7-day, 30-day and 60-day mortality rate, as well as the medical expenditures and 30-day readmission rate as treatment outcome to examine whether patients are more likely to have worse outcomes if they go to the emergency room on weekends and midnight.
After controlling for hospital heterogeneity via fixed effects, the empirical results showed that worse outcomes did not associate to medical centers and non-medical centers. In Taiwan, midnight effect existed and weekend effect was not significant.
