紧急医学在退伍军人健康管理局中的现状。

State of affairs of emergency medicine in the Veterans Health Administration.

机构信息

Departments of Internal Medicine and Emergency Medicine, University of Illinois-Chicago, Jesse Brown VA Hospital, Chicago, IL 60612, USA.

出版信息

Am J Emerg Med. 2010 Oct;28(8):947-51. doi: 10.1016/j.ajem.2009.08.008. Epub 2010 Mar 25.

DOI:10.1016/j.ajem.2009.08.008

PMID:20887913

Abstract

BACKGROUND

The Veterans Health Administration (VHA) has reformed its emergency medical services.

OBJECTIVES

This study updates an overview of emergency medicine within VHA.

METHODS

This is a cross-sectional survey of VHA medical facilities offering emergency medical care.

RESULTS

Sixty-eight percent (95/140) of facilities had emergency departments (EDs) only, 12% (16/140) had both ED and urgent care centers (UCCs), and 16% (23/140) had only UCCs. The mean (SD) ED/UCC census was 13 371 (7664). A mean (SD) of 53% (27%) of facility admissions were admitted through ED/UCCs. The median of all ED/UCC admissions admitted to intensive care unit level care was 11% (interquartile range, 7-16). Of physicians with any board certification, 16% (209/1331) of physicians had emergency medicine board certification.

CONCLUSIONS

Emergency medical care is now available at most VHA facilities. The specialty of emergency medicine has an important but minority presence within clinical emergency medical care at VHA.

摘要

背景

退伍军人健康管理局（VHA）已经改革了其急诊医疗服务。

目的

本研究更新了 VHA 内急诊医学概述。

方法

这是一项对提供急诊医疗服务的 VHA 医疗设施的横断面调查。

结果

68%（95/140）的设施仅设有急诊部（ED），12%（16/140）的设施同时设有 ED 和紧急护理中心（UCC），16%（23/140）的设施仅设有 UCC。ED/UCC 普查的平均值（标准差）为 13371（7664）。通过 ED/UCC 入院的设施入院人数的平均值（标准差）为 53%（27%）。所有 ED/UCC 入院患者中，进入重症监护病房治疗的中位数为 11%（四分位间距，7-16）。在具有任何委员会认证的医师中，16%（209/1331）的医师具有急诊医学委员会认证。