J Korean Soc Emerg Med.
2016 Aug;27(4):360-366. 10.0000/jksem.2016.27.4.360.
Feature of Visiting Patients to a Wide Regional Emergency Center According to Insurance Status
- Affiliations
-
- 1Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea.
- 2Department of Emergency Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. csjmedigate@naver.com
- 3Department of Biomedical Informatics, Pusan National University School of Medicine, Busan, Korea.
- 4Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea.
- 5Department of Emergency Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea.
- KMID: 2350889
- DOI: http://doi.org/10.0000/jksem.2016.27.4.360
Abstract
- PURPOSE
In Korea, emergency department overcrowding in large hospitals have caused social concern. Moreover, patients with low socioeconomic status visit the emergency department more frequently. This kind of visitation also causes a burden on the national budget, but emergent patient should be treated in emergency department regardless of economic state. So, on establishment of policy about the patient with low socioeconomic status, the frequency of emergency visitation alone is difficult to obtain a sufficient basis for policy-making.
METHODS
We retrospectively analyzed adult patients with a disease who visited the Pusan Wide-regional Emergency Center in 2015. Korean Triage and Acuity Scale level I, II or III were defined as emergency, and level IV or V was defined as non-emergency. The ratio of emergency and non-emergency was compared in the National Health Insurance and Medicaid database.
RESULTS
The number of patients with National Health Insurance was 16,208 (90.3%) and with Medicaid was 1,737 (9.7%). Among those with National Health Insurance, there were 12,720 (78.5%) emergency cases and 3,488 (21.5%) non-emergency cases. Among those with Medicaid, 1,379 (79.4%) emergency cases and 358 (20.6%) non-emergency cases. Between National Health Insurance and Medicaid, there was no statistically significant difference in the ratio of emergency and non-emergency (p=0.380)
CONCLUSION
Accessibility of emergency and non-emergency patients with National Health Insurance and Medicaid to Pusan Wide-regional Emergency Center was not different.
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