Hsia Renee Y, Nath Julia B, Baker Laurence C
Renee Y. Hsia (
Julia B. Nath is a medical student at the University of Chicago Pritzker School of Medicine, in Illinois.
Health Aff (Millwood). 2015 Apr;34(4):621-6. doi: 10.1377/hlthaff.2014.0471.
The emergency department (ED) is the source of most hospital admissions; provides care for patients with no other point of access to the health care system; receives advanced care referrals from primary care physicians; and provides surveillance data on injuries, infectious diseases, violence, and adverse drug events. Understanding the changes in the profile of disease in the ED can inform emergency services administration and planning and can provide insight into the public's health. We analyzed the trends in the diagnoses seen in California EDs from 2005 to 2011, finding that while the ED visit rate for injuries decreased by 0.7 percent, the rate of ED visits for noninjury diagnoses rose 13.4 percent. We also found a rise in symptom-related diagnoses, such as abdominal pain, along with nervous system disorders, gastrointestinal disease, and mental illness. These trends point out the increasing importance of EDs in providing care for complex medical cases, as well as the changing nature of illness in the population needing immediate medical attention.
急诊科是大多数医院住院患者的来源；为那些没有其他医疗系统接入点的患者提供护理；接收初级保健医生的高级护理转诊；并提供有关伤害、传染病、暴力和药物不良事件的监测数据。了解急诊科疾病谱的变化可以为紧急服务管理和规划提供信息，并能洞察公众健康状况。我们分析了2005年至2011年加利福尼亚州急诊科所见诊断的趋势，发现虽然伤害的急诊就诊率下降了0.7%，但非伤害诊断的急诊就诊率上升了13.4%。我们还发现与症状相关的诊断有所增加，如腹痛，以及神经系统疾病、胃肠疾病和精神疾病。这些趋势表明急诊科在为复杂医疗病例提供护理方面的重要性日益增加，以及需要立即医疗护理的人群中疾病性质的变化。
