Zusammenfassung. Es lässt sich in den westlichen Industrienationen eine deutliche Zunahme der Inanspruchnahme von Zentralen Notaufnahmen (ZNA) der Krankenhäuser beobachten. Aufgrund der Flüchtlingswelle erhält dieses Thema zusätzliche Brisanz. In Städten machen Migranten einen relevanten Teil des Patientengutes der ZNAs aus, trotzdem sind sie in der Versorgungsforschung bisher nicht angemessen repräsentiert. Die retrospektive Studie beleuchtet die Entwicklung der Inanspruchnahme einer Universitären Notaufnahme durch Migranten bezüglich Patientenzahlen differenziert nach Soziodemografie, Wochentag und Zuweisungsart über zehn Jahre. Bei der jährlich steigenden Behandlungszahl in Notaufnahmen kommt es zu einem überproportionalen Anstieg von ausländischen Patientenkontakten. Der aufgezeigte Trend wird zunehmen und es sollte bei der Planung von notfallmedizinischen Vorhalteleistungen die soziodemografische Struktur berücksichtigt werden, insbesondere sollte sich die Notfallmedizin auf zusätzlich migrationsspezifisch veränderte Anforderungen einstellen.

Popular demand for high quality care has increased in recent years. This is also the case for medical services and support at all times of the day and night is nowadays required. During the last ten years, there has been a marked increase in the demands on hospital emergency hospitals, particularly in the Western industrialized countries. The present retrospective study investigates how the demands on a large Swiss university centre have changed over a period of 10 years. Patient numbers are differentiated by age, gender, nationality, weekday and mode of referral. A retrospective analysis was performed of the data of the patients admitted to the Emergency Centre of Bern University Medical Hospital (Inselspital) during the ten-year period from 2004 up to and including 2013 and who were treated as emergencies. A total of 264,272 patients were included in the study. It was shown that there was an uninterrupted annual increase from 23,555 patients in 2004 to 34,918 patients in 2013 (+48%). Most patients came to the Emergency Centre on Mondays, followed by Fridays. Because of the marked increase in life expectancy and the resulting demographic changes, there has been a marked increase in the number of older patients coming to the Emergency Centre for acute medical care. It was found that there were disproportionately high numbers of patients aged 20 to 49 years who were not Swiss citizens. In contrast, most patients over 60 were Swiss. In the coming years, emergency centres will have to adapt to the continued increase in patient numbers. This trend will continue, so that it is essential to consider the sociodemographic structure of a region when planning the availability of emergency medical care.

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