Hansagi H, Olsson M, Sjöberg S
Beroendecentrum Nord, Sabbatsberg, Stockholm.
Lakartidningen. 1998 Nov 18;95(47):5320, 5323-4.
A small subgroup of patients accounts for a substantial proportion of emergency room (ER) consultations. Of the 479,956 consultations at ER facilities at Stockholm hospitals in 1996, a quarter were accounted for by six per cent of the patients, a subgroup characterised by at least four ER consultations during the year. Some 1,500 patients consulted 12-233 times. Analysis of the care-seeking habits of five extremely heavy ER-facility consumers showed them also to be heavy consumers of other health care services such as primary and tertiary facilities. Since previous studies have shown heavy ER-facility consumers to be a vulnerable subgroup both medically and socially, co-ordination and planning of their care might well be beneficial.
一小部分患者占急诊室(ER)会诊的很大比例。1996年斯德哥尔摩医院急诊室的479,956次会诊中,6%的患者占了四分之一,这一亚组的特征是一年中至少有4次急诊室会诊。约1500名患者会诊了12至233次。对五位急诊室极度频繁使用者的就医习惯分析表明,他们也是其他医疗服务(如初级和三级医疗机构)的频繁使用者。由于先前的研究表明,急诊室频繁使用者在医学和社会方面都是弱势群体,因此对他们的护理进行协调和规划可能会大有裨益。