Articles: hospital-emergency-service.
-
Connecticut medicine · Jan 1990
Connecticut emergency department physicians survey. Implications for graduate medical education.
A survey conducted in mid-1989 of 36 Connecticut hospital emergency departments sought to determine the nature of physician staffing and the volume and the acuteness of patient problems. Overall, only 31% of emergency department staffing is provided by board certified emergency physicians in the state of Connecticut. In addition to emphasizing the lack of board certified emergency physicians available in the state, this survey also indicated a relative deficiency in emergency department physician staffing in general with approximately 20% of all positions currently unfilled statewide. The implications of these findings for graduate medical education in Connecticut are discussed.
-
Whether it's indigent care, cost containment, transfer laws, financially wary HMOs, overcrowding, reimbursement, or emergency-department inefficiency, the factors "putting the squeeze" on emergency medicine seem to multiply with each new survey. These pressures, the authors feel, are not only weakening the provision of emergency care but also strengthening the argument for a national health plan.
-
When planning the average number of bed occupancy days per year at a hospital providing emergency hospitalization one should take into account the demurrage of reserve beds which are needed for urgent hospitalization of patients. The influence of emergency demurrage of reserve beds on occupancy rate is not determined by the absolute number of these beds and their share in the structure of hospital bed fund. The number of reserve beds depends on the number of emergency patients hospitalized and the average length of hospital stay.