Analysis of current situation of Chinese health care reform by studying emergency overcrowding in a typical Shanghai hospital

Tong, Jinlu; Zhu, Ying; Jiang, Jie; Huixin, Liang; Qi, Jin; Tao, Rong; Xu, Jinghua; Lu, Yiming; Ye, Jing

doi:10.1016/j.ajem.2012.05.012

Cited by 9 publications

(7 citation statements)

References 11 publications

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“…Previous studies showed that specialized wards refused to admit patients with multiple organ dysfunction syndrome (6)(7)(8). Our results indicated that patients requiring emergency operations were transferred from the resuscitation room faster than other patients, and this may be because the surgical patients in our hospital were given priority to inpatient care.…”

Section: Discussionmentioning

confidence: 57%

“…including Beijing, Shanghai, and Hangzhou (6)(7)(8). The mean LOS in the ED was 1.2 days, and only 50% of the patients visiting this department received inpatient care.…”

Section: Discussionmentioning

confidence: 99%

“…In each hospital, more than 11,000 patients stayed in the observation unit with a mean length of stay (LOS) of more than 5 days, and only 20% of them received inpatient care (6). More than 260,000 patients visited the ED of Shanghai Ruijin Hospital; of these, 2702 patients stayed in the ED for more than 48 hours from September 2009 to August 2010 (7), and (7).…”

Section: Introductionmentioning

confidence: 99%

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Emergency Overcrowding is Seasonal in a Hospital in Hainan Province, Southern China

Jiao

Wang

Yong-hong

et al. 2020

Preprint

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Background Emergency overcrowding is a serious problem for hospital staff in China. Immigrant patients caused emergency overcrowding in a hospital in southern China. However, the demographic characteristics of this population have not been determined. Methods Data on all emergency visitors, including patients who stayed in emergency department (ED) observation units or critical care units were collected and saved in an Excel sheet. Patient characteristics, including place of origin, type of disease, visiting time, and factors associated with prolonged stay in the ED, were analyzed. Results There were 141,024 emergency visitors in a 5-year interval, and only 24.0% of them were local residents. The number of patients was higher from November to March of next year. Immigrant patients usually had more commodity diseases than local residents. A total of 3,173 patients stayed in the ED observation unit or critical care unit in one-year interval. The number of patients in the ED and their LOS were higher from November 2017 to March 2018. Conclusions Emergency overcrowding in a hospital in southern China was seasonal and was caused by an increasing number of immigrants. Several patients stayed in the ED for a long time, especially those with special commodity diseases. Hospitals and the government should take measures to address the problems related to emergency overcrowding. Key words: Emergency overcrowding; Immigrant patients; Southern China

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Section: Discussionmentioning

confidence: 57%

“…including Beijing, Shanghai, and Hangzhou (6)(7)(8). The mean LOS in the ED was 1.2 days, and only 50% of the patients visiting this department received inpatient care.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Emergency Overcrowding is Seasonal in a Hospital in Hainan Province, Southern China

Jiao

Wang

Yong-hong

et al. 2020

Preprint

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“…Additionally, other grassroots improvements to infrastructure and human resources are part of the reforms, for example the aim to reduce overcrowding in city hospitals. In terms of the ambient dimension of the servicescape, this is a key issue in a significant number of Chinese hospitals (Tong, Zhu, Jie, Huixin, Jin, Tao, … Jing, 2012). It is important to note that community health centers and stations will start to deliver medical services, in a role similar to that of hospitals (He & Meng, 2015).…”

Section: China Europe and The Health Servicescape: Developing A Smentioning

confidence: 99%

Strategies and servicescapes: Delivering user‐focused health care in Europe and China

Ardley

Chen

2017

Strategic Change

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The health servicescape model provides an effective tool for both developed and developing markets in terms of both situation analysis and the strategic implementation of effective, user‐focused change. European and Chinese health‐care providers are challenged in increasingly consumer‐centered economies. A health servicescape perspective can be utilized to provide a framework for initiating appropriate responses to the range of consumer and environmental forces. It is suggested that some good practices are emerging, but a range of specific servicescape strategies need to be adopted, particularly in the case of China.

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“…Cerebral infarction which even accounts for up to 80% of the whole stroke patients in China, is the most common type of stroke [2,4]. Our previous epidemiological studies in Shanghai RUIJIN Hospital also found that cerebral infarction is one of the common diseases in our emergency [5]. It is of utmost importance to select patients with high risk of negative outcomes and to address them through a more intensive pharmacological and rehabilitative approach [6].…”

Section: Introductionmentioning

confidence: 99%

Carotid plaques and neurological impairment in patients with acute cerebral infarction

Tien

Zhou

et al. 2020

PLoS ONE

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To determine whether the coexistence of carotid atherosclerosis plaque affects the neurological function of cerebral infarction. Methods A total of 1078 patients with acute cerebral infarction were enrolled, all patients were divided into carotid plaque group (n = 702) and non-carotid plaque group (n = 376). Meanwhile, all patients were divided into mild group (n = 624) and moderate to severe group (n = 454). The difference of the incidence of carotid plaque between the mild and moderate to severe group was analyzed. Results In the 1078 patients with cerebral infarction, the NIHSS score in the carotid plaque group was significantly higher than that in the non-carotid plaque group (P<0.05). The number of mild cases without carotid artery plaque group was larger than that of plaque group (P<0.05), and the number of moderate to severe cases in carotid plaque group was larger than that in non-plaque group (P<0.05). In patients with carotid atherosclerotic plaque, the risk of moderate to severe cerebral infarction was 2.11 times higher than that without carotid artery plaque. Lastly, patients with single plaques were 1.82 times more likely to develop moderate to severe cerebral infarction than those without carotid plaque, while patients with multiple carotid plaques were 2.41 times higher to get moderate or severe cerebral infarction than those without carotid plaque. Conclusions The incidence of carotid atherosclerotic plaques may be related to neurological deficits in patients with acute cerebral infarction.

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Analysis of current situation of Chinese health care reform by studying emergency overcrowding in a typical Shanghai hospital

Cited by 9 publications

References 11 publications

Emergency Overcrowding is Seasonal in a Hospital in Hainan Province, Southern China

Emergency Overcrowding is Seasonal in a Hospital in Hainan Province, Southern China

Strategies and servicescapes: Delivering user‐focused health care in Europe and China

Carotid plaques and neurological impairment in patients with acute cerebral infarction

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