Emergency Medicine in China

Hou, Xiang Yu

doi:10.5772/36752

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2018

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“…We believe this is the most recent study of the census and exit block status of teaching EDs in the city of Beijing (7)(8)(9). Emergency medicine is a young discipline in China.…”

Section: Discussionmentioning

confidence: 91%

Causes of Emergency Department Overcrowding and Blockage of Access to Critical Services in Beijing: A 2-Year Study

Wang

Xiong

Wang

et al. 2018

The Journal of Emergency Medicine

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One principal reason for ED crowding in Beijing lies in the large numbers of patients who persist in the expectation of receiving ongoing care in the ED for minor illnesses. However, as is true in many nations, one of the other most important root causes of ED crowding is "access block," the inability to promptly move patients deemed by emergency physicians to need inpatient care to an inpatient bed for that care. However, in our system, another challenge, not widely described as a contributor to crowding in other nations, is that doctors assigned to inpatient services have been empowered to refuse to admit patients perceived to have overly "complex" needs. Further, patients with multisystem illnesses or end-stage status, who need ongoing chronic care to manage activities of daily living, have begun to populate Beijing EDs in increasing numbers. This is an issue with various root causes.

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“…We believe this is the most recent study of the census and exit block status of teaching EDs in the city of Beijing (7)(8)(9). Emergency medicine is a young discipline in China.…”

Section: Discussionmentioning

confidence: 91%