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本文引用的文献

1
Emergency Department Crowding is Associated with Reduced Satisfaction Scores in Patients Discharged from the Emergency Department.急诊科拥挤与急诊科出院患者满意度评分降低有关。
West J Emerg Med. 2013 Feb;14(1):11-5. doi: 10.5811/westjem.2011.11.11456.
2
How long are patients willing to wait in the emergency department before leaving without being seen?患者在急诊部门等待多长时间后会选择离开而不接受治疗？
West J Emerg Med. 2012 Dec;13(6):463-7. doi: 10.5811/westjem.2012.3.6895.
3
Systematic review of emergency department crowding: causes, effects, and solutions.急诊科拥挤的系统评价：原因、影响及解决方案。
Ann Emerg Med. 2008 Aug;52(2):126-36. doi: 10.1016/j.annemergmed.2008.03.014. Epub 2008 Apr 23.
4
Patients who leave the emergency department without being seen by a physician: a control-matched study.未接受医师诊治即离开急诊部之病人：一对照匹配研究。
CJEM. 2005 Mar;7(2):107-13. doi: 10.1017/s1481803500013063.
5
Patients who leave without being seen: their characteristics and history of emergency department use.未经诊治自行离开的患者：其特征及急诊科就诊史
Ann Emerg Med. 2006 Dec;48(6):686-93. doi: 10.1016/j.annemergmed.2006.05.022. Epub 2006 Jun 30.
6
The financial burden of emergency department congestion and hospital crowding for chest pain patients awaiting admission.急诊科拥堵和医院拥挤给等待入院的胸痛患者带来的经济负担。
Ann Emerg Med. 2005 Feb;45(2):110-7. doi: 10.1016/j.annemergmed.2004.09.010.
7
Emergency department overcrowding in the United States: an emerging threat to patient safety and public health.美国急诊科过度拥挤：对患者安全和公众健康的新威胁。
Emerg Med J. 2003 Sep;20(5):402-5. doi: 10.1136/emj.20.5.402.
8
Emergency department crowding: a point in time.急诊科拥挤：某一时刻的情况。
Ann Emerg Med. 2003 Aug;42(2):167-72. doi: 10.1067/mem.2003.258.
9
Emergency department overcrowding in Florida, New York, and Texas.佛罗里达州、纽约州和得克萨斯州急诊科拥挤不堪的情况。
South Med J. 2002 Aug;95(8):846-9.
10
Frequent overcrowding in U.S. emergency departments.美国急诊科频繁人满为患。
Acad Emerg Med. 2001 Feb;8(2):151-5. doi: 10.1111/j.1553-2712.2001.tb01280.x.

过度拥挤和医疗保险类型是否会影响急诊科患者的治疗效果？

Does overcrowding and health insurance type impact patient outcomes in emergency departments?

机构信息

Department of Economics and Business, Colorado College, 14 E, Cache La Poudre St,, Colorado Springs, CO 80903, USA.

出版信息

Health Econ Rev. 2013 Nov 12;3(1):25. doi: 10.1186/2191-1991-3-25.

DOI:10.1186/2191-1991-3-25
PMID:24229451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4177193/
Abstract

UNLABELLED

: We examine the impact of Emergency Department (ED) overcrowding on wait times and patient outcomes using a unique cross section of about 32,000 patients for an ED located in the Southwestern United States. We construct a measure of a patient's outcome and estimate the extent to which it is worsened by long waits in the ED. We find that waiting at an ED due to overcrowding tends to generate a negative outcome for all patients. We also find that this negative outcome is larger for those on Medicaid or who have no insurance and smaller for those with private insurance or Medicare.

JEL CLASSIFICATION CODES

I12; I13.

摘要

未加标签

我们使用美国西南部一个急诊部约 32000 名患者的独特横截面数据，考察了急诊部（ED）拥堵对等待时间和患者结果的影响。我们构建了一个衡量患者结果的指标，并估计了 ED 长时间等待对其造成的恶化程度。我们发现，由于拥堵而在 ED 等待往往会对所有患者产生负面影响。我们还发现，对于那些参加医疗补助计划或没有保险的人来说，这种负面影响更大，而对于那些有私人保险或医疗保险的人来说，负面影响较小。

JEL 分类代码：I12；I13。