Factors related to the frequent use of emergency department services in Korea

Cho, Eun Deok; Kim, Bomgyeol; Kim, Do Hee; Kim, Tae Hyun; Lee, Sang Kyu

doi:10.1186/s12873-023-00808-8

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…Overall, however, most of the interventions were fairly generic and did not attempt to address the barriers faced by patients. Additionally, the characteristics of frequent users can vary based on location [ 81 , 87 , 88 ], so interventions that work in one location may not be appropriate for another. Perhaps more specific, tailored interventions are needed to truly help patients and reduce frequent ED use.…”

Section: Discussionmentioning

confidence: 99%

A mapping review of interventions to address patients who frequently seek care in the emergency department

Memedovich,

Asante,

Khan

et al. 2024

BMC Emerg Med

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Background The high utilization of acute care services, particularly emergency departments (ED), continues to be a significant concern for healthcare providers. Numerous approaches have been studied to meet the care needs of patients who frequently seek care in the ED; however, there is no comprehensive review of the current literature base. As such, a current understanding of the interventions initiated within the ED to address the needs of frequent users is required. This mapping review had three objectives: identify the characteristics associated with the need to frequently seek care in the ED; identify interventions implemented to address the needs of this population; and identify gaps in the current evidence base. Methods A knowledge map was created by scoping the literature to identify characteristics associated with frequent ED use and interventions implemented to address frequent use. Then, a literature search was conducted to determine what has been implemented by EDs to reduce frequent ED use. The literature was searched from 2013 to January 2023. MeSH terms and keywords were used to identify relevant studies. Studies implementing an intervention for those with characteristics associated with frequent ED use and reporting on ED use were included. Results Twenty-three (23) controlled trials and 35 observational studies were included. The most common populations were older adults, those with chronic conditions, and generic “frequent users”. No studies assessed Indigenous Peoples or racial minorities, and few assessed patients with a disability or patients experiencing homelessness. The most common interventions were referrals, care plans, case management, care coordination, and follow-up phone calls. Most studies reported ED revisits, hospitalization, costs, length-of-stay, or outpatient utilization. Few assessed patient or staff perspectives. About one-third of studies (n = 24) reported significant reductions in ED revisits. Conclusions Similar interventions, mainly focused on care coordination and planning, have been implemented to address frequent use of the ED. There are still significant gaps in the populations that have been studied. Efforts now must be undertaken to study more diverse populations whose care needs are not being met elsewhere and thus frequent the ED often.

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Section: Discussionmentioning

confidence: 99%

A mapping review of interventions to address patients who frequently seek care in the emergency department

Memedovich,

Asante,

Khan

et al. 2024

BMC Emerg Med

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“…To satisfy these demands, a data-based approach is needed, and the National Emergency Department Information System (NEDIS) in Korea was established [10,11]. This information is useful to examine the status of patients in emergency medical centers and evaluate and monitor emergency care quality [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Epidemiologic trends of patients who visited nationwide emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018–2022

Yoo,

Ro,

et al. 2023

Clin Exp Emerg Med

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Objective: This study analyzed trends in emergency department (ED) visits in South Korea using the National Emergency Department Information System (NEDIS) data from 2018 to 2022. Methods: This was a retrospective observational study using data from the NEDIS database from 2018 to 2022. Age- and sex-standardized ED visits per 100,000 population, as well as age- and sex-standardized rates for mortality, admission, and transfer, were calculated. Results: The standardized ED visits per 100,000 population was approximately 20,000 from 2018 to 2019 and decreased to about 18,000 in 2022. The standardized mortality rate ranged from 1.4% to 1.7%. The admission rate (18.4%–19.4%) and the transfer rates (1.6%–1.8%) were similar during the study period. Approximately 5.5% of patients were triaged as Korean Triage and Acuity Scale score 1 or 2. About 91% of patients visited the ED directly and 21.7% of patients visited the ED with an ambulance. The ED length of stay was less than 6 hours in 90.3% of patients and the ED mortality rate was 0.6%. Acute gastroenteritis was the most common diagnosis. Respiratory virus symptoms, such as fever and sore throat, were also common chief complaints.Conclusion: ED visits decreased during the 5-year period, while admission, transfer, and death rates remained relatively stable.

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Factors related to the frequent use of emergency department services in Korea

Cited by 2 publications

References 25 publications

A mapping review of interventions to address patients who frequently seek care in the emergency department

A mapping review of interventions to address patients who frequently seek care in the emergency department

Epidemiologic trends of patients who visited nationwide emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018–2022

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