Sarría-Santamera A, Prado-Galbarro J, Ramallo-Farina Y, Quintana-Díaz M, Martínez-Virto A, Serrano-Aguilar P
Agencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Madrid, España; Unidad Docente de Medicina Preventiva y Salud Pública, Universidad de Alcalá, Alcalá de Henares, Madrid, España; Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC).
Agencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Madrid, España.
Semergen. 2015 Mar;41(2):63-9. doi: 10.1016/j.semerg.2014.02.006. Epub 2014 Apr 13.
Describe the use of emergency departments (ED), and analyse the differences in use between residents in rural and urban areas.
Using data from the National Health Survey of 2006 and 2011, the profiles of patients with ED visits by population size of place of residence were obtained. The variables associated with making one visit to the ED were also evaluated, in order to determine the effect of the population size of place of residence.
A higher use of ED is observed in persons with a higher frequency of use of Primary Care and hospital admissions, and increases with worse self-perceived health and functional status, with more chronic diseases, in people from lower social classes, and younger ages. Adjusting for the other variables, residents in larger cities have a higher use of ED than residents in rural areas, who show a higher use of public and non-hospital based ED, than residents in urban areas.
There is a higher use of ED by inhabitants of urban areas that cannot be justified by a worst health status of that population. This tends to indicate that the use of ED is not under-used in rural areas, but overused in urban areas.
描述急诊科的使用情况，并分析农村和城市居民在使用上的差异。
利用2006年和2011年国家健康调查的数据，获取按居住地区人口规模划分的急诊科就诊患者概况。还评估了与急诊科就诊一次相关的变量，以确定居住地区人口规模的影响。
在初级保健和住院频率较高的人群中观察到急诊科的使用率较高，并且随着自我感觉健康状况和功能状态较差、慢性病较多、社会阶层较低以及年龄较小的人群而增加。在对其他变量进行调整后，大城市的居民比农村地区的居民急诊科使用率更高，而农村居民比城市居民更多地使用公立和非医院急诊科。
城市居民对急诊科的较高使用率不能以该人群较差的健康状况来解释。这倾向于表明，急诊科在农村地区并非使用不足，而是在城市地区使用过度。
