Hospital Emergency Room Savings via Health Line S24 in Portugal

Hospital emergency departments are often overused by patients that do not really need urgent care. These admissions are one of the major factors contributing to hospital costs, which should not be allowed to compromise the response and effectiveness of the National Health Services (SNS). The aim of this study is to perform a detailed spatial health econometrics analysis of the non-urgent emergency situations (classified by Manchester triage) by area, linking them with the efficient use of the national health line, the Saude24 line (S24 line). This is evaluated through the S24 savings calls, using a savings index and its spatial effectiveness in solving the non-urgent emergency situations. A savings call is a call by a user whose initial intention was to go to an urgency department, but who. after calling the S24 line. changed his/her mind. Given the spatial nature of the data, and resorting to INLA in a Bayesian paradigm, the number of non-urgent cases in the Portuguese urgency hospital departments is modeled in an autoregressive way. The spatial structure is accounted for by a set of random effects. The model additionally includes regular covariates and a spatially lagged covariate savings index, related with the S24 savings calls. Therefore, the response in a given area depends not only on the (weighted) values of the response in its neighborhood and of the considered covariates, but also on the (weighted) values of the covariate savings index measured in each neighbor, by means of a Bayesian Poisson spatial Durbin model.

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Primary care professionals providing non-urgent care in hospital emergency departments

Cochrane Database of Systematic Reviews ◽

10.1002/14651858.cd002097.pub3 ◽

2012 ◽

Cited By ~ 13

Author(s):

Jaspreet K Khangura ◽

Gerd Flodgren ◽

Rafael Perera ◽

Brian H Rowe ◽

Sasha Shepperd

Keyword(s):

Primary Care ◽

Emergency Departments ◽

Urgent Care ◽

Hospital Emergency ◽

Hospital Emergency Departments ◽

Primary Care Professionals

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Implementasi Standar Sumber Daya Manusia dan Pelayanan Minimal Kesehatan di Kota Pekalongan

Pena Justisia Media Komunikasi dan Kajian Hukum ◽

10.31941/pj.v19i1.1136 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Anik Indriono

Keyword(s):

Emergency Room ◽

Human Resource ◽

Secondary Data ◽

Primary Data ◽

Hospital Emergency ◽

Hospital Emergency Room ◽

The Republic ◽

Hospital Emergency Departments ◽

Patient Emergency ◽

Service Standards

<table width="614" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" width="19"><p><em> </em></p></td><td valign="top" width="396"><p><em>Hospital is a health service facility that must provide services according to applicable service standards. One of the front guards of a hospital is an Emergency Room (IGD) which will provide emergency assistance to every patient. Emergency is a condition that threatens life and disability, so it needs fast, precise, effective and quality action. This can be achieved if the hospital has a standard of service in the Emergency Room. This study aims to determine the implementation of HR standards and minimal services in hospital emergency departments. This research is a qualitative research with a sociological juridical approach. Sociological juridical is legal research that uses secondary data as initial data, which is then followed by primary data or field data. The juridical aspect in this research is the regulation of the minister of health regarding the standards of the Hospital Emergency Room and the sociological aspect is the implementation of the rules in the ministerial decree by the hospital. Sources of legal materials for this research include primary and secondary legal materials. Data collection techniques used are through interviews and literature. The results showed that the Standard Emergency Room is regulated in Law No. 44 of 2009 concerning the Hospital. In particular, the IGD standard has been regulated in the Republic of Indonesia's Minister of Health Kepmenkes No.856 / Menkes / SK / IX / 2009 regarding the standard of Hospital Emergency Room Installation. But in reality in the field, the hospital has not fully implemented these regulations, so the quality of service in the ER is less. Thus the patient's right to get quality services is neglected. According to the Hospital Law Article 29 Paragraph 1 point (a) that "Hospitals are obliged to provide safe, quality, anti-discrimination, and effective health services by prioritizing the interests of patients in accordance with Hospital service standards". The supporting factors for implementation are high human resource motivation and the inhibiting factors, namely the opportunity and cost of further study for nurses, do not yet exist.</em></p><p><strong><em>Keywords:</em></strong></p><p><em>Implementation; Human Resource Standards; Minimum Service Standars; Hospital.</em></p></td></tr></tbody></table>

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