Governmental designation of emergency medical institutes

30 days mortality by types of designation

Kyu Tae Han, Seung Ju Kim, Euncheol Park, Myung Il Hahm, Sun Jung Kim

Research output: Contribution to journalArticle

Abstract

Background: In 2000, the South Korean government introduced a program in emergency medical institutions throughout the country to establish effective management system for emergency patients. The aim of this study was is to investigate the effectiveness of this program for emergency patients and establish evidence for more effective strategy by comparing the relationship between types of emergency medical center and 30 day mortality after hospitalization in inpatients with cerebrovascular and cardiovascular diseases. Methods: We used National Health Insurance claim data (n = 111,741) from 115 hospitals during 2010–2013 to analyze readmissions within 30 days after hospitalization due to cerebrovascular and cardiovascular diseases. We performed χ2 tests, analysis of variance and logistic regression analysis using generalized estimating equation (GEE) modeling to investigate associations with 30 day mortality after hospitalization. Results: Deaths within 30 days of hospitalization due to cerebrovascular and cardiovascular diseases were 6.5%. Regional emergency medical center and localized emergency medical center had lower risk in 30 days mortality after hospitalization than localized emergency medical agency (regional emergency medical center = OR: 0.71, 95 CI: 0.60–0.84; localized emergency medical center = OR: 0.81, 95% CI: 0.72–0.90; ref. = localized emergency medical agency). In addition, reduction in 30 days mortality by types of emergency medical institutes was more highly associated in cerebrovascular diseases than cardiovascular diseases. Conclusions: Government designated higher level emergency medical institutes had better outcomes in emergency medical care than localized emergency medical agencies. Thus, health policy makers have to consider optimal reimbursement in the field of emergency medicine.

Original languageEnglish
Pages (from-to)162-168
Number of pages7
JournalJournal of the Neurological Sciences
Volume397
DOIs
Publication statusPublished - 2019 Feb 15

Fingerprint

Emergencies
Mortality
Cerebrovascular Disorders
Hospitalization
Cardiovascular Diseases
Emergency Medicine
Program Evaluation
National Health Programs
Emergency Medical Services
Health Policy
Administrative Personnel
Inpatients
Analysis of Variance
Logistic Models
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cite this

@article{b76e16e080654450aee152580db55662,
title = "Governmental designation of emergency medical institutes: 30 days mortality by types of designation",
abstract = "Background: In 2000, the South Korean government introduced a program in emergency medical institutions throughout the country to establish effective management system for emergency patients. The aim of this study was is to investigate the effectiveness of this program for emergency patients and establish evidence for more effective strategy by comparing the relationship between types of emergency medical center and 30 day mortality after hospitalization in inpatients with cerebrovascular and cardiovascular diseases. Methods: We used National Health Insurance claim data (n = 111,741) from 115 hospitals during 2010–2013 to analyze readmissions within 30 days after hospitalization due to cerebrovascular and cardiovascular diseases. We performed χ2 tests, analysis of variance and logistic regression analysis using generalized estimating equation (GEE) modeling to investigate associations with 30 day mortality after hospitalization. Results: Deaths within 30 days of hospitalization due to cerebrovascular and cardiovascular diseases were 6.5{\%}. Regional emergency medical center and localized emergency medical center had lower risk in 30 days mortality after hospitalization than localized emergency medical agency (regional emergency medical center = OR: 0.71, 95 CI: 0.60–0.84; localized emergency medical center = OR: 0.81, 95{\%} CI: 0.72–0.90; ref. = localized emergency medical agency). In addition, reduction in 30 days mortality by types of emergency medical institutes was more highly associated in cerebrovascular diseases than cardiovascular diseases. Conclusions: Government designated higher level emergency medical institutes had better outcomes in emergency medical care than localized emergency medical agencies. Thus, health policy makers have to consider optimal reimbursement in the field of emergency medicine.",
author = "Han, {Kyu Tae} and Kim, {Seung Ju} and Euncheol Park and Hahm, {Myung Il} and Kim, {Sun Jung}",
year = "2019",
month = "2",
day = "15",
doi = "10.1016/j.jns.2019.01.011",
language = "English",
volume = "397",
pages = "162--168",
journal = "Journal of the Neurological Sciences",
issn = "0022-510X",
publisher = "Elsevier",

}

Governmental designation of emergency medical institutes : 30 days mortality by types of designation. / Han, Kyu Tae; Kim, Seung Ju; Park, Euncheol; Hahm, Myung Il; Kim, Sun Jung.

In: Journal of the Neurological Sciences, Vol. 397, 15.02.2019, p. 162-168.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Governmental designation of emergency medical institutes

T2 - 30 days mortality by types of designation

AU - Han, Kyu Tae

AU - Kim, Seung Ju

AU - Park, Euncheol

AU - Hahm, Myung Il

AU - Kim, Sun Jung

PY - 2019/2/15

Y1 - 2019/2/15

N2 - Background: In 2000, the South Korean government introduced a program in emergency medical institutions throughout the country to establish effective management system for emergency patients. The aim of this study was is to investigate the effectiveness of this program for emergency patients and establish evidence for more effective strategy by comparing the relationship between types of emergency medical center and 30 day mortality after hospitalization in inpatients with cerebrovascular and cardiovascular diseases. Methods: We used National Health Insurance claim data (n = 111,741) from 115 hospitals during 2010–2013 to analyze readmissions within 30 days after hospitalization due to cerebrovascular and cardiovascular diseases. We performed χ2 tests, analysis of variance and logistic regression analysis using generalized estimating equation (GEE) modeling to investigate associations with 30 day mortality after hospitalization. Results: Deaths within 30 days of hospitalization due to cerebrovascular and cardiovascular diseases were 6.5%. Regional emergency medical center and localized emergency medical center had lower risk in 30 days mortality after hospitalization than localized emergency medical agency (regional emergency medical center = OR: 0.71, 95 CI: 0.60–0.84; localized emergency medical center = OR: 0.81, 95% CI: 0.72–0.90; ref. = localized emergency medical agency). In addition, reduction in 30 days mortality by types of emergency medical institutes was more highly associated in cerebrovascular diseases than cardiovascular diseases. Conclusions: Government designated higher level emergency medical institutes had better outcomes in emergency medical care than localized emergency medical agencies. Thus, health policy makers have to consider optimal reimbursement in the field of emergency medicine.

AB - Background: In 2000, the South Korean government introduced a program in emergency medical institutions throughout the country to establish effective management system for emergency patients. The aim of this study was is to investigate the effectiveness of this program for emergency patients and establish evidence for more effective strategy by comparing the relationship between types of emergency medical center and 30 day mortality after hospitalization in inpatients with cerebrovascular and cardiovascular diseases. Methods: We used National Health Insurance claim data (n = 111,741) from 115 hospitals during 2010–2013 to analyze readmissions within 30 days after hospitalization due to cerebrovascular and cardiovascular diseases. We performed χ2 tests, analysis of variance and logistic regression analysis using generalized estimating equation (GEE) modeling to investigate associations with 30 day mortality after hospitalization. Results: Deaths within 30 days of hospitalization due to cerebrovascular and cardiovascular diseases were 6.5%. Regional emergency medical center and localized emergency medical center had lower risk in 30 days mortality after hospitalization than localized emergency medical agency (regional emergency medical center = OR: 0.71, 95 CI: 0.60–0.84; localized emergency medical center = OR: 0.81, 95% CI: 0.72–0.90; ref. = localized emergency medical agency). In addition, reduction in 30 days mortality by types of emergency medical institutes was more highly associated in cerebrovascular diseases than cardiovascular diseases. Conclusions: Government designated higher level emergency medical institutes had better outcomes in emergency medical care than localized emergency medical agencies. Thus, health policy makers have to consider optimal reimbursement in the field of emergency medicine.

UR - http://www.scopus.com/inward/record.url?scp=85059768995&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85059768995&partnerID=8YFLogxK

U2 - 10.1016/j.jns.2019.01.011

DO - 10.1016/j.jns.2019.01.011

M3 - Article

VL - 397

SP - 162

EP - 168

JO - Journal of the Neurological Sciences

JF - Journal of the Neurological Sciences

SN - 0022-510X

ER -