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    Please use this identifier to cite or link to this item: http://ir.lib.ncu.edu.tw/handle/987654321/83739

    Title: 急診室病患組合、人力排擠與醫療救治結果
    Authors: 黃昭逸;Huang, Chao-Yi
    Contributors: 產業經濟研究所
    Keywords: 急診壅塞;輕症患者;醫療人力;ER crowding;mild patients;medical talent
    Date: 2020-07-28
    Issue Date: 2020-09-02 16:59:58 (UTC+8)
    Publisher: 國立中央大學
    Abstract: 急診壅塞的問題一直困擾著全世界的許多國家,它不僅造成病患的醫療救治
    用2000 年及2005 年全民健保資料庫百萬人次抽樣檔,以心肌梗塞、出血性中風
    夜間時段中結果都未明顯對急重症患者的醫療結果有顯著的影響。;Emergency department congestion can causes poor medical treatment outcomes for
    patients worldwide. In addition, it reduces the quality of medical treatment in the
    emergency room. The implementation of the National Health Insurance System in 1995
    in Taiwan lowered medical expenses and the threshold for people to seek medical
    treatment. It means that high number of patients with mild symptoms can be present in
    the emergency department, which increases waiting times for all. The emergency room
    is available for patients with acute and severe symptoms. It is designed to use the limited
    time for treatment. However, too many non-emergency patients can delay the treatment
    time of emergency patients and worsen their condition when medical resources are
    limited. In addition, medical staff can be overworked, which leads to a shortage of
    medical talent in the emergency department. This study used the National Health
    Insurance Database from 2000–2005 to assess the effect of the number of patients with
    mild symptoms on emergency patient outcomes in medical centers. We included patients
    with myocardial infarction, hemorrhagic stroke, and obstructive stroke. Most patients
    with mild symptoms choose to visit the emergency department during the weekend and
    night periods; therefore, we evaluated whether treatment outcomes were affected by
    emergency department congestion during these periods. Interestingly, we found no
    significant effect of mild patient numbers on the treatment outcomes of patients with
    severe disease, including during the weekend and night periods. In summary, there was
    no effect the number of non-emergent patients on the treatment outcome of severe
    Appears in Collections:[產業經濟研究所] 博碩士論文

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