The impact of National Health Insurance on the volume and severity of emergency department use

被引：9

作者：

Lin, YL ^{[1
]}

Hsiao, CK ^{[1
]}

Ma, HM ^{[1
]}

Hsu, HY ^{[1
]}

Wang, SM ^{[1
]}

Tseng, YZ ^{[1
]}

机构：

[1] Natl Taiwan Univ Hosp, Dept Emergency Med, Taipei, Taiwan

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1998年 / 16卷 / 01期

关键词：

National Health Insurance; universal coverage; copayment; ED;

D O I：

10.1016/S0735-6757(98)90075-4

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

National Health Insurance (NHI) was introduced in Taiwan on March 1, 1995, To evaluate the influence of NHI on the volume and severity of emergency department (ED) visits, a retrospective analysis was conducted, The results showed that NHI did not result in a substantial increase in ED volume (P > .05), but the severity as measured by triage nurses did increase (P < .01). There was no change in the number of admissions to the intensive care units of patients transferred from smaller hospitals, but its percentage significantly decreased (P < .05), which may be a result of the significant increase in the total number of interhospital transfers, It was hypothesized that the universal coverage and a copayment contributed to these changes. Copyright (C) 1998 by W.B. Saunders Company.

引用

页码：92 / 94

页数：3

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