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首页> 外文期刊>Journal of health services research & policy >Health services use associated with emergency department closure.
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Health services use associated with emergency department closure.

机译：与紧急部门关闭相关的医疗服务使用。

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OBJECTIVE: To study changes in health services consumption following substantial reduction in the availability of local emergency services in a small municipality population. METHOD: A dynamic cohort (21,000 residents of Viborg County, Denmark, of which 2,300 from Morso municipality) was followed, 1997-2003. Data were extracted from administrative registries including information on individual use of emergency services and other hospital care, contact with GPs and socioeconomic background. Health services' use by the Morso population was measured before reduction in emergency room opening hours, during a period of reduced opening hours and after closure, compared with the rest of Viborg County. RESULTS: Emergency service use did not change among Morso municipality residents compared to other Viborg County residents. Compared to men in other parts of the county, Morso men did not change their use of substitute health services. By contrast, Morso women compared to the rest of Viborg county reduced their use of GP services in terms of face-to-face visits (beta = -0.08, P = 0.020), telephone consultations (beta = -0.11, P = 0.007), home visits (beta = -0.48, P = 0.009), and their inpatient hospital utilization (beta = -0.12, P = 0.022) during the period when emergeny services were only available in the daytime. CONCLUSIONS: Emergency services at neighbouring hospitals (40 kilometres distance) were able to compensate, in part, for the decreased local emergency service provision. Concurrent changes in health care utilization patterns were observed among local residents that varied by gender.
机译：目的：研究在小城市人口中大量减少当地紧急服务后，医疗服务消费的变化。方法：采用动态队列研究（1997年至2003年，丹麦维堡县21,000名居民，其中2300名来自莫尔索市）。数据从行政登记处提取，包括有关个人使用急救服务和其他医院护理，与全科医生联系以及社会经济背景的信息。与维堡县的其他地区相比，在急诊室开放时间减少之前，开放时间减少期间和关闭之后，Morso人群对卫生服务的使用进行了测量。结果：与其他维堡县居民相比，莫索市居民的紧急服务使用情况没有变化。与该县其他地区的男子相比，莫索男子并未改变其替代医疗服务的使用方式。相比之下，与维堡县其他地区相比，摩尔索妇女在面对面访问（beta = -0.08，P = 0.020），电话咨询（beta = -0.11，P = 0.007）方面减少了对GP服务的使用，仅在白天提供紧急服务的期间内的家访（β= -0.48，P = 0.009）和住院病人的医院使用率（β= -0.12，P = 0.022）。结论：邻近医院（距离40公里）的急诊服务能够部分补偿当地急诊服务的减少。在当地居民中，卫生保健利用方式的同时变化因性别而异。

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