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http://dx.doi.org/10.22156/CS4SMB.2020.10.10.253

Analysis of the Characteristics of Ambulatory Care Sensitive Conditions in Patients Visiting the Emergency Departments: Focused on Health-care Delivery System  

Huh, Young-Jin (National Emergency Medical Center, National Medical Center)
Kim, Ji-Yeon (National Emergency Medical Center, National Medical Center)
Lee, Myoung-Hwa (National Emergency Medical Center, National Medical Center)
Lee, Sung-Min (Department of Emergency Medicine, Chonnam National University Hospital)
Oh, Mi-Ra (National Emergency Medical Center, National Medical Center)
Publication Information
Journal of Convergence for Information Technology / v.10, no.10, 2020 , pp. 253-258 More about this Journal
Abstract
This study analyzed, the characteristics of ambulatory care sensitive conditions(ACSCs) in patients visiting emergency departments(EDs) and compared characteristics according to two age groups (adults aged 19-64 years and, elderly people aged ≥65 years). By accessing data from the National Emergency Department Information System(NEDIS) from January 1 to December 31, 2018, we examined the proportions of different ED types and ACSCs, length of stay(LOS) in the ED, LOS hospital, and hospital admission rates. Regarding the types of EDs, we found that the proportion of local emergency medical centers was high(P<0.001). Regarding the rates of different ACSCs, 31.7% of adults were treated for gastroenteritis, a high proportion of the elderly people(48.2%) were diagnosed with and treated for pneumonia(P<0.001). The LOS in the ED was longer in elderly people for all diseases categories, except for congestive heart failure and diabetes(P<0.001). The LOS in the hospital was also significantly longer in elderly people for all ACSCs(P<0.05), and the admission rate was significantly higher in elderly people for all diseases, except for diabetes(P<0.01). Thus, analyzing the ED visits made by patients with ACSCs will need to strengthen the health-care policy to induce treatment centered on outpatient.
Keywords
Emergency department; Ambulatory Care Sensitive Conditions(ACSCs); Adults; Elderly people; National Emergency Department Information System(NEDIS);
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1 A. Rosano et al. (2013). The relationship between avoidable hospitalization and accessibility to primary care: a systematic review. The European Journal of Public Health, 23(3), 356-260. DOI : 10.1093/eurpub/cks053   DOI
2 S. Purdy, T. Griffin & D. Sharp. (2009). Ambulatory care sensitive conditions: terminology and disease coding need to be more specific to aid policy makers and clinicians. Public Health, 123(2), 169-179. DOI : 10.1016/j.puhe.2008.11.001   DOI
3 H. C. Shin. (2010). Analysis of preventable hospitalization rate trends for new medical benefit recipients. Health Insurance Review and Assessment Service, 4(1), 35-44.
4 Centers for Disease Control and Prevention. (2013. November). CDC Health Disparities and Inequalities Report-United States, 2013, Morbidity and Mortality Weekly Report 62(Suppl 3), 139-143.
5 A. Oster & A. B. Bindman. (2003). Emergency department visits for ambulatory care sensitive conditions: Insights Into Preventable Hospitalizations. Medical Care, 41(2), 198-207. DOI : 10.1097/01.MLR.0000045021.70297.9F   DOI
6 S. Y. Yu. (2013). Medical trends for recent five years of Ambulatory Care Sensitive Conditions. Health Insurance Review and Assessment Service, 7(2), 64-73.
7 T. Freund et al. (2013). Strategies for reducing potentially avoidable hospitalizations for Ambulatory Care Sensitive Conditions. Annals of Family Medicine, 11(4), 363-370. DOI : 10.1370/afm.1498   DOI
8 V. C. R. Hsieh, M. L. Hsieh, J. H. Chiang, A. Chien & M. S. Hsieh. (2019). Emergency Department Visits and Disease Burden Attributable to Ambulatory Care Sensitive Conditions in Elderly Adults. Scientific Reports, 9, 3811. DOI : 10.1038/s41598-019-40206-4   DOI
9 K. H. Chung, S. W. Moon, S. Y. Yun, J. H. Lee, J. H. Yun & C. Y. Lee. (2019). 2018 National Emergency Medical Service Awareness and Satisfaction Survey Results Report. Seoul : National Emergency Medical Center.
10 Z. Ansari, S. I. Haider, H. Ansari, T. D. Gooyer & C. Sindall. (2012). Patient characteristics associated with hospitalisations for ambulatory care sensitive conditions in Victoria, Australia. BMC Health Services Research, 12, 475. DOI : 10.1186/1472-6963-12-475   DOI
11 A. E. Gonzalez-Velez et al. (2019). Ambulatory care sensitive conditions hospitalization for emergencies rates in Colombia. Revista de Saude Publica, 53, 36. DOI : 10.11606/S1518-8787.2019053000563   DOI
12 J. E. Galarrage, R. Mutter & J. M. Pines. (2015). Costs associated with Ambulatory Care Sensitive Conditions across hospital-based settings. Academic Emergency Medicine, 22(2), 172-181. DOI : 10.1111/acem.12579   DOI
13 D. W. Ballard et al. (2010). Validation of an algorithm for categorizing the severity of hospital emergency department visits. Medical Care, 48, 58-63. DOI : 10.1097/MLR.0b013e3181bd49ad   DOI