A nationwide study of the emergency department utilization rates according to season, day of the week, time of the day, region, and type of emergency department
Han Jun-Ho, 이성민, 최고은, 이효철, 허탁,
소속 상세정보
( Han Jun-Ho )
Chonnam National University Hospital Department of Emergency Medicine
이성민 ( Lee Sung-Min )
Chonnam National University Hospital Department of Emergency Medicine
최고은 ( Choi Go-Eun )
Chonnam National University Hospital Department of Emergency Medicine
이효철 ( Lee Hyo-Cheol )
Honam University College of Health Science Department of Emergency Medical Services
허탁 ( Heo Tag )
Chonnam National University Hospital Department of Emergency Medicine
KMID : 0385920190300040318
Abstract
Objective: The mismatch in the demand and supply of emergency medical resources has been a constant issue in Korean emergency departments (EDs). This study analyzed the characteristics and actual utilization of medical bed resources in these EDs.
Method: The emergency department utilization (EDU) rate was calculated using the Emergency Medical Resource Information System (EMRIS) on the available beds in EDs from April 2014 to January 2015. The EDU rate was analyzed according to the season, day of the week, time of day, and ED type. Furthermore, the ratio between the maximum and minimum EDU rates was also compared between the regions.
Results: A total of 14,889,750 data points were included. The EDU rate was relatively high during winter and on Sundays, and was highest between 20:00 and 22:00. The ratio between the maximum and minimum EDU rates according to the time of day was highest in Gyeongbuk (5.4) and lowest in Daegu (1.4). Moreover, the EDU rate according to the ED type was highest in the regional emergency medical center (66.7%).
Conclusion: Significant differences were observed in the EDU rates according to the season, day of the week, time of the day, region, and ED type. Therefore, EMRIS should allocate resources based on the data on both the hospital and regional characteristics.
키워드
Emergency service; Hospital; Beds; Information systems
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