Yale studies in ambulatory medical care. V. Determinants of use of hospital emergency services.

Weinerman, E. Richard; Ratner, R. S.; Robbins, Alan S.; Lavenhar, Marvin A.

doi:10.2105/ajph.56.7.1037

Cited by 136 publications

(44 citation statements)

References 7 publications

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“…Each health subsystem must know the role-set that its consumers impose on it to appropriately plan its programs. Studies such as the ones conducted at Beth Israel Hospital, Boston, Massachusetts, (Solon, et al, 1960 a, b) and Yale-New Haven Medical Center, New Haven, Connecticut, (Weinerman, et al, 1966) Additionally, studies of this sort need to expand to include the medical care sources that are nonprofessional. Elucidation of these sources and their roles within the medical care patterns of consumers is needed.…”

Section: Future Considerationsmentioning

confidence: 99%

Change of health center sponsorship. I, Impact on patterns of obtaining medical care.

Schumaker¹

1971

Am J Public Health

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Section: Future Considerationsmentioning

confidence: 99%

Change of health center sponsorship. I, Impact on patterns of obtaining medical care.

Schumaker¹

1971

Am J Public Health

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“…Studies in metropolitan area hospitals have documented the demand for and the pattern of emergency services in such hospitals (1)(2)(3). In these studies numerous problems, such as the overuse of the emergency room for nonurgent medical problems, the substitution of emergency room care for care by a primary physician in practice, and a disproportionate use of the emergency room by lower income level population groups, have been identified.…”

Section: An Increasing Demand For Medicalmentioning

confidence: 99%

“…The pattern of these emergency room services was compared with that of the Yale-New Haven Hospital emergency room (1). At the time of the study, the house staff at Saginaw General Hospital was responsible for emergency services, with attending staff seeing patients as indicated or by arrangement.…”

Section: An Increasing Demand For Medicalmentioning

confidence: 99%

Use of the Emergency Room in a Community Hospital

White¹,

O'Connor²

1970

Public Health Reports (1896-1970)

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“…The earliest written record of the use of triage in emergency medicine, in a systematic sense, was in the early 1960s at Baltimore, USA [3]. However, this and other early systems lacked formal structure and organisation.…”

Section: Introductionmentioning

confidence: 99%

“…Collective experience and research has reinforced the value of a five level categorical scale [2]. Triage systems aim, not only to ensure clinical justice for the patient, but also to provide an effective tool for departmental organisation, monitoring and evaluation.The earliest written record of the use of triage in emergency medicine, in a systematic sense, was in the early 1960s at Baltimore, USA [3]. However, this and other early systems lacked formal structure and organisation.…”

mentioning

confidence: 99%

Towards a resilient health status assessment employing intelligence in cyber physical systems

et al. 2018

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-Resilience is defined as the capacity of a system to cope with a hazardous event or disturbance, responding or reorganizing in ways that maintain its essential function, identity, and structure, while also maintaining the capacity for adaptation, learning and transformation. A resilient health system is one that is capable to anticipate, respond to, cope with, recover from and adapt to system-related shocks and stress, so as to bring sustained improvements in population health, despite the unstable circumstances. Nowadays, the emergency department (ED) of hospitals faces growing demands, rising acuteness and longer waiting times. An efficient, accurate and resilient triage system to improve the operation of the ED becomes crucial. In this work, a resilient system for automatic priority, sorting and monitoring of medical events -triage system-is developed, so that the patients in the ED are treated according to the severity of their condition and not by the order of attendance utilizing a Fuzzy Inference System (FIS) that aggregates, processes patients' vital signs as well as determines their Health Status (HS), according to which the ED staff performs the appropriate classification. IntroductionThe ED is an autonomous part of the hospital that aims to receive, revitalize, diagnose and treat patients with a variety of emergencies that cover the full range of diseases, injuries and disorders. Effective emergency response is a matter of utmost importance for the reliability of every health system. Nowadays, the ED faces serious problems due to the massive occurrence of incidents that create crowded conditions, increased waiting times and other undesirable effects. Increasing needs and requirements and increasing demands for healthcare monitoring and patient assistance pose challenges that need to be addressed by improving current health systems and infrastructures. The use of technology contributes effective and decisive to enhance the operation of ED. The need to provide a high level of medical services and the need for rapid and reliable recording of medical and other data, which data in ED can even judge the outcome of an incident, make the use of an appropriately adapted information system imperative. The development and exploitation of such a system is a significant improvement in the operation of the ED. During ED crowding and all the malfunctions it causes there is an imbalance between the need for emergency care and available resources, which enhances the need for accurate triage [1]. Triage is a process that is critical to the effective management of modern EDs. Triage systems are used in EDs to prioritize patients and to ensure that they are seen in order of clinical need when demand exceeds capacity. They do this by determining who will not be disadvantaged by longer waiting times and who requires immediate attention and urgent medical care to achieve optimal outcomes. There are several protocols and methods that are used for triage in EDs (ED Triage), which differ in both patient assessment cr...

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Yale studies in ambulatory medical care. V. Determinants of use of hospital emergency services.

Cited by 136 publications

References 7 publications

Change of health center sponsorship. I, Impact on patterns of obtaining medical care.

Change of health center sponsorship. I, Impact on patterns of obtaining medical care.

Use of the Emergency Room in a Community Hospital

Towards a resilient health status assessment employing intelligence in cyber physical systems

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