Patient Pathway Across Portuguese Emergency Network: What Matters for Health Outcomes?
INTRODUCTION: Regional inequalities in access and health results have become a relevant issue in all developed countries. In this paper it was sought to evaluate possible disparities due to geographical localization, in cases of acute and severe illness. MATERIAL AND METHODS: By accessing the logbo...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
José de Mello Saúde
2022-11-01
|
| Series: | Gazeta Médica |
| Subjects: | |
| Online Access: | https://gazetamedica.pt/index.php/gazeta/article/view/509 |
| _version_ | 1811206996493336576 |
|---|---|
| author | João Mendes |
| author_facet | João Mendes |
| author_sort | João Mendes |
| collection | DOAJ |
| description |
INTRODUCTION: Regional inequalities in access and health results have become a relevant issue in all developed countries. In this paper it was sought to evaluate possible disparities due to geographical localization, in cases of acute and severe illness.
MATERIAL AND METHODS: By accessing the logbook of the emergency room of the polyvalent emergency service (PES) in Viseu, Portugal, detailed information was extracted from 2812 episodes that occurred during 2019. This sample also includes users from two medical and surgical emergency services (MSES), which serve Guarda and Covilhã regions, as well as three basic emergency services (BES). It was used a retrospective design and logistic regression models were estimated to assess differences in mortality.
RESULTS: Our data prove the existence of a protective effect of BES (p-value = 0.031) and an adverse impact of distance, particularly in cases of stroke (p-value = 0.027). In addition, we did not find difference in 30-day mortality between patients from Guarda, Covilhã and Viseu regions (p-value = 0.536).
CONCLUSION: This study is pioneer in demonstrating the importance of BES. Furthermore, it confirms that the creation of reference centers contributes to the improvement of outcomes, with no difference in mortality of patients who are initially approached by lower differentiation centers.
|
| first_indexed | 2024-04-12T03:57:32Z |
| format | Article |
| id | doaj.art-b75baab2558b4fac960898e6215616c0 |
| institution | Directory Open Access Journal |
| issn | 2183-8135 2184-0628 |
| language | English |
| last_indexed | 2024-04-12T03:57:32Z |
| publishDate | 2022-11-01 |
| publisher | José de Mello Saúde |
| record_format | Article |
| series | Gazeta Médica |
| spelling | doaj.art-b75baab2558b4fac960898e6215616c02022-12-22T03:48:48ZengJosé de Mello SaúdeGazeta Médica2183-81352184-06282022-11-0111Patient Pathway Across Portuguese Emergency Network: What Matters for Health Outcomes?João Mendes0Internal Medicine Department, Centro Hospitalar Tondela-Viseu, Viseu, Portugal. University of Porto, Porto, Portugal. INTRODUCTION: Regional inequalities in access and health results have become a relevant issue in all developed countries. In this paper it was sought to evaluate possible disparities due to geographical localization, in cases of acute and severe illness. MATERIAL AND METHODS: By accessing the logbook of the emergency room of the polyvalent emergency service (PES) in Viseu, Portugal, detailed information was extracted from 2812 episodes that occurred during 2019. This sample also includes users from two medical and surgical emergency services (MSES), which serve Guarda and Covilhã regions, as well as three basic emergency services (BES). It was used a retrospective design and logistic regression models were estimated to assess differences in mortality. RESULTS: Our data prove the existence of a protective effect of BES (p-value = 0.031) and an adverse impact of distance, particularly in cases of stroke (p-value = 0.027). In addition, we did not find difference in 30-day mortality between patients from Guarda, Covilhã and Viseu regions (p-value = 0.536). CONCLUSION: This study is pioneer in demonstrating the importance of BES. Furthermore, it confirms that the creation of reference centers contributes to the improvement of outcomes, with no difference in mortality of patients who are initially approached by lower differentiation centers. https://gazetamedica.pt/index.php/gazeta/article/view/509Emergency Medical Services/ organization & administrationEmergency Service, HospitalStrokeHealth PolicyHealthcare Disparities |
| spellingShingle | João Mendes Patient Pathway Across Portuguese Emergency Network: What Matters for Health Outcomes? Gazeta Médica Emergency Medical Services/ organization & administration Emergency Service, Hospital Stroke Health Policy Healthcare Disparities |
| title | Patient Pathway Across Portuguese Emergency Network: What Matters for Health Outcomes? |
| title_full | Patient Pathway Across Portuguese Emergency Network: What Matters for Health Outcomes? |
| title_fullStr | Patient Pathway Across Portuguese Emergency Network: What Matters for Health Outcomes? |
| title_full_unstemmed | Patient Pathway Across Portuguese Emergency Network: What Matters for Health Outcomes? |
| title_short | Patient Pathway Across Portuguese Emergency Network: What Matters for Health Outcomes? |
| title_sort | patient pathway across portuguese emergency network what matters for health outcomes |
| topic | Emergency Medical Services/ organization & administration Emergency Service, Hospital Stroke Health Policy Healthcare Disparities |
| url | https://gazetamedica.pt/index.php/gazeta/article/view/509 |
| work_keys_str_mv | AT joaomendes patientpathwayacrossportugueseemergencynetworkwhatmattersforhealthoutcomes |