RAND Corporation, Arlington, VA, USA.
Health Aff (Millwood). 2010 Sep;29(9):1630-6. doi: 10.1377/hlthaff.2009.0748.
Americans seek a large amount of nonemergency care in emergency departments, where they often encounter long waits to be seen. Urgent care centers and retail clinics have emerged as alternatives to the emergency department for nonemergency care. We estimate that 13.7-27.1 percent of all emergency department visits could take place at one of these alternative sites, with a potential cost savings of approximately $4.4 billion annually. The primary conditions that could be treated at these sites include minor acute illnesses, strains, and fractures. There is some evidence that patients can safely direct themselves to these alternative sites. However, more research is needed to ensure that care of equivalent quality is provided at urgent care centers and retail clinics compared to emergency departments.
美国人在急诊部门寻求大量非紧急护理,而在那里他们经常需要长时间等待才能得到治疗。紧急护理中心和零售诊所已经成为非紧急护理的急诊部门的替代选择。我们估计,所有急诊部门就诊中有 13.7%-27.1%可以在这些替代场所进行,每年可节省约 44 亿美元的费用。可以在这些场所治疗的主要病症包括轻微的急性疾病、拉伤和骨折。有一些证据表明,患者可以安全地自行前往这些替代场所。但是,需要进行更多的研究,以确保紧急护理中心和零售诊所提供的护理质量与急诊部门相当。