新冠肺炎大流行期间菲律宾一家三级医院急诊科的使用和管理

IF 1 Q4 HEALTH POLICY & SERVICES
M. Jimenez, R. Manzanera, Mark B. Carascal, M. D. Figueras, J. Wong, D. Moya, J. Mira
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引用次数: 0

摘要

急诊科(ED)在为患者提供高效、优质的医疗服务方面发挥着重要作用。在2019冠状病毒病大流行期间,观察到急诊科的利用和管理发生了变化,反映了菲律宾大多数三级医院面临的潜在挑战。本研究旨在描述菲律宾一家大型COVID-19医院急诊室利用和管理的变化,其对住院患者的影响以及对急诊室工作人员的影响。比较了2019年(大流行前)和2020年(大流行)的患者数据。此外,本研究还使用了一种针对covid -19的心理测量工具来评估大流行对急诊科工作人员的影响。比较大流行前和大流行人口普查,本研究发现急诊科咨询和住院率分别下降了59.0%和67.6%。急诊咨询明显转向老年患者,住院时间更长,自付费用增加,主要以呼吸相关主诉为主。综合医院病房的使用率有所下降,新增了一个COVID-19病房和一个ICU。尽管有这些变化,但63.6%的急诊科员工对疫情带来的压力表现出良好的情绪适应能力。本研究报告了菲律宾在大流行期间的ED情况,并指出了ED管理的重要变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Utilisation and Management of an Emergency Department in a Tertiary Hospital in the Philippines During the COVID-19 Pandemic
The Emergency Department (ED) plays the role of providing efficient and quality healthcare services to patients. During the COVID-19 pandemic, there were observed changes in the ED’s utilisation and management reflecting the underlying challenges faced by most tertiary hospitals in the Philippines. This study aims to describe the changes in the utilisation and management of ED in a major COVID-19 hospital in the Philippines, its implications for inpatient admissions, and effect on ED staff. Patient data from 2019 (pre-pandemic) and 2020 (pandemic) were compared. In addition, this study administered a COVID-19-specific psychometric tool to assess the pandemic’s effect on ED staff. Comparing the pre-pandemic and pandemic census, this study found a 59.0% and 67.6% decrease in ED consultations and hospital admissions, respectively. ED consultations significantly shifted to older patients, with longer length of stay, increased out-of-pocket payment, and mostly presenting with respiratory-related chief complaints. There is a decrease in general hospital unit utilisation, and the addition of a COVID-19 ward and an ICU. Despite the changes, 63.6% of the ED staff exhibited good emotional adjustment to the stress brought by the pandemic. This study reported the situation of Philippine ED amid the pandemic and indicated the important management changes in ED.
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来源期刊
Journal of Health Management
Journal of Health Management HEALTH POLICY & SERVICES-
CiteScore
3.40
自引率
0.00%
发文量
84
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