Volume 9, Issue 4 (Winter 2024)
JMIS 2024, 9(4): 400-409 |
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Kabir M J, Heidari A, Khatirnamani Z, Moeeni S, Kazemi S B, Rahimi A. The Prevalence and Costs of Non-urgent Visits to the Emergency Department of Public Hospitals Affiliated to Golestan University of Medical Sciences: A Descriptive Study. JMIS 2024; 9 (4) :400-409
URL: http://jmis.hums.ac.ir/article-1-456-en.html
URL: http://jmis.hums.ac.ir/article-1-456-en.html
Mohammad Javad Kabir 
, Alireza Heidari , Zahra Khatirnamani , Sajad Moeeni , Sakine Beygom Kazemi , Amirhossein Rahimi
, Alireza Heidari , Zahra Khatirnamani , Sajad Moeeni , Sakine Beygom Kazemi , Amirhossein Rahimi
Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
Abstract: (1156 Views)
Objective The emergency department (ED) of hospitals is of special importance due to receiving a high number of critically ill patients. This study aims to determine the prevalence and costs of non-urgent visits to the ED of public hospitals in Golestan, Iran.
Methods This is a descriptive cross-sectional study. The study population includes all patients referred to the ED of hospitals affiliated to Golestan University of Medical Sciences in 2019. Patients who did not require emergency care and were in the fourth and fifth levels of triage were considered patients with non-urgent emergency needs. The cost of ED services were extracted from the hospital information system and using the top-down costing method. To describe the data, descriptive statistics were used in SPSS software, version 23.
Results Out of 519,204 patients referred to the EDs, 218,037 (42%) had non-urgent visits. Among these patients, 43% were male and 57% were female. The total cost of services for non-urgent ED visits was 43,856,887,000 Iranian Rials. For patients with the fourth level of triage, it was 42,094,000,000 Iranian Rials, and for those with the fifth level of triage, the cost was 1,762,887,000 Iranian Rials.
Conclusion The number of non-urgent visits to the ED of public hospitals in Golestan is considerable. It can lead to a significant waste of hospital resources. Reducing unnecessary ED visits in hospitals can reduce the costs of the health system and improve the quality of hospital services.
Methods This is a descriptive cross-sectional study. The study population includes all patients referred to the ED of hospitals affiliated to Golestan University of Medical Sciences in 2019. Patients who did not require emergency care and were in the fourth and fifth levels of triage were considered patients with non-urgent emergency needs. The cost of ED services were extracted from the hospital information system and using the top-down costing method. To describe the data, descriptive statistics were used in SPSS software, version 23.
Results Out of 519,204 patients referred to the EDs, 218,037 (42%) had non-urgent visits. Among these patients, 43% were male and 57% were female. The total cost of services for non-urgent ED visits was 43,856,887,000 Iranian Rials. For patients with the fourth level of triage, it was 42,094,000,000 Iranian Rials, and for those with the fifth level of triage, the cost was 1,762,887,000 Iranian Rials.
Conclusion The number of non-urgent visits to the ED of public hospitals in Golestan is considerable. It can lead to a significant waste of hospital resources. Reducing unnecessary ED visits in hospitals can reduce the costs of the health system and improve the quality of hospital services.
Type of Study: Research |
Subject:
General
Received: 2023/05/2 | Accepted: 2023/11/12 | Published: 2024/01/1
Received: 2023/05/2 | Accepted: 2023/11/12 | Published: 2024/01/1
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