{"title":"基于卫生部6年数据分析的重要见解:<s:1>基耶省急诊科患者就诊趋势的流行病学研究","authors":"Melih Gaffar Gözükara","doi":"10.14744/hnhj.2023.17048","DOIUrl":null,"url":null,"abstract":"Introduction: Although emergency services are at a vital point in health systems, they occupy a large place in terms of service capacity and finance. An emergency service visit complaint may be within the scope of the primary health-care service, or it may be a health problem that must be completed with the minutes. Overcrowding of emergency departments (EDs) and delayed visits may be critical for priority patients to receive treatment. In our study, it was aimed to examine all 6-year patient visits to all emergency services in Turkiye in detail and to determine the epidemiological trends of visits. Methods: The study includes a total of 925,161,028 ED visits, including both children and adults. Data were collected from the EDs of all healthcare institutions in Türkiye, through the Sağlıkta İstatistik ve Nedensel Analizler (Statistics and Causal Analysis in Health) program web inter-face. Results: Average time from registration to triage was 16.9 min. 787,617,762 triages have been made. About 28.30% were classified as green triage, 68.51% were classified as yellow triage, 3.18% as red triage, <0.01% as black triage, and 137,543,266 visits (14.87% of among total visits) were as other (non-triaged). The highest number of visits, 66.2 million (7.2%), occurred be-tween 20: 00 and 21: 00 weekly, while the lowest number of visits occurred between 5: 00 and 6: 00, with about 6 million visits (0.65%). Discussion and Conclusion: The high volume of ED visits, particularly during non-office hours and among certain de-mo-graphic groups, highlights the need for targeted strategies to optimize healthcare delivery. This could include enhancing primary and secondary care services, improving health literacy among the population, and implementing effective triage systems and which, will be key to ensuring the sustainability of Türkiye’s health-care system and improving health outcomes for the population.","PeriodicalId":12831,"journal":{"name":"Haydarpasa Numune Training and Research Hospital Medical Journal","volume":"117 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Critical Insights Based on the Ministry of Health’s 6-Year Data Analysis: An Epidemiological Study of Patient Visits Trends of Emergency Departments in Türkiye\",\"authors\":\"Melih Gaffar Gözükara\",\"doi\":\"10.14744/hnhj.2023.17048\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: Although emergency services are at a vital point in health systems, they occupy a large place in terms of service capacity and finance. An emergency service visit complaint may be within the scope of the primary health-care service, or it may be a health problem that must be completed with the minutes. Overcrowding of emergency departments (EDs) and delayed visits may be critical for priority patients to receive treatment. In our study, it was aimed to examine all 6-year patient visits to all emergency services in Turkiye in detail and to determine the epidemiological trends of visits. Methods: The study includes a total of 925,161,028 ED visits, including both children and adults. Data were collected from the EDs of all healthcare institutions in Türkiye, through the Sağlıkta İstatistik ve Nedensel Analizler (Statistics and Causal Analysis in Health) program web inter-face. Results: Average time from registration to triage was 16.9 min. 787,617,762 triages have been made. About 28.30% were classified as green triage, 68.51% were classified as yellow triage, 3.18% as red triage, <0.01% as black triage, and 137,543,266 visits (14.87% of among total visits) were as other (non-triaged). The highest number of visits, 66.2 million (7.2%), occurred be-tween 20: 00 and 21: 00 weekly, while the lowest number of visits occurred between 5: 00 and 6: 00, with about 6 million visits (0.65%). Discussion and Conclusion: The high volume of ED visits, particularly during non-office hours and among certain de-mo-graphic groups, highlights the need for targeted strategies to optimize healthcare delivery. This could include enhancing primary and secondary care services, improving health literacy among the population, and implementing effective triage systems and which, will be key to ensuring the sustainability of Türkiye’s health-care system and improving health outcomes for the population.\",\"PeriodicalId\":12831,\"journal\":{\"name\":\"Haydarpasa Numune Training and Research Hospital Medical Journal\",\"volume\":\"117 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Haydarpasa Numune Training and Research Hospital Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.14744/hnhj.2023.17048\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Haydarpasa Numune Training and Research Hospital Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14744/hnhj.2023.17048","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
导言:虽然紧急服务在卫生系统中处于至关重要的位置,但在服务能力和资金方面却占有很大的地位。紧急服务访问投诉可能属于初级保健服务的范围,也可能是必须用记录完成的健康问题。急诊科(EDs)的过度拥挤和就诊延误可能对优先接受治疗的患者至关重要。在我们的研究中,其目的是详细检查土耳其所有急诊服务的所有6年患者就诊情况,并确定就诊的流行病学趋势。方法:该研究共包括925,161,028例ED就诊,包括儿童和成人。通过Sağlıkta İstatistik ve Nedensel Analizler(健康统计和因果分析)程序web界面,从 rkiye所有医疗机构的急诊科收集数据。结果:从挂号到分诊平均时间为16.9 min,共分诊787,617,762次。其中,绿色分诊占28.30%,黄色分诊占68.51%,红色分诊占3.18%,黑色分诊占<0.01%,其他(未分诊)分诊137,543,266次,占总访问量的14.87%。每周20点至21点的访问次数最多,为6620万次(7.2%),而5点至6点的访问次数最少,约为600万次(0.65%)。讨论和结论:急诊科的高访问量,特别是在非办公时间和某些人口统计学群体中,突出了有针对性的战略,以优化医疗保健服务的必要性。这可能包括加强初级和二级保健服务,提高人口的卫生素养,以及实施有效的分诊系统,这将是确保缅甸卫生保健系统可持续性和改善人口健康结果的关键。
Critical Insights Based on the Ministry of Health’s 6-Year Data Analysis: An Epidemiological Study of Patient Visits Trends of Emergency Departments in Türkiye
Introduction: Although emergency services are at a vital point in health systems, they occupy a large place in terms of service capacity and finance. An emergency service visit complaint may be within the scope of the primary health-care service, or it may be a health problem that must be completed with the minutes. Overcrowding of emergency departments (EDs) and delayed visits may be critical for priority patients to receive treatment. In our study, it was aimed to examine all 6-year patient visits to all emergency services in Turkiye in detail and to determine the epidemiological trends of visits. Methods: The study includes a total of 925,161,028 ED visits, including both children and adults. Data were collected from the EDs of all healthcare institutions in Türkiye, through the Sağlıkta İstatistik ve Nedensel Analizler (Statistics and Causal Analysis in Health) program web inter-face. Results: Average time from registration to triage was 16.9 min. 787,617,762 triages have been made. About 28.30% were classified as green triage, 68.51% were classified as yellow triage, 3.18% as red triage, <0.01% as black triage, and 137,543,266 visits (14.87% of among total visits) were as other (non-triaged). The highest number of visits, 66.2 million (7.2%), occurred be-tween 20: 00 and 21: 00 weekly, while the lowest number of visits occurred between 5: 00 and 6: 00, with about 6 million visits (0.65%). Discussion and Conclusion: The high volume of ED visits, particularly during non-office hours and among certain de-mo-graphic groups, highlights the need for targeted strategies to optimize healthcare delivery. This could include enhancing primary and secondary care services, improving health literacy among the population, and implementing effective triage systems and which, will be key to ensuring the sustainability of Türkiye’s health-care system and improving health outcomes for the population.