Research Article
BibTex RIS Cite
Year 2022, Volume: 8 Issue: 4, 653 - 660, 30.11.2022
https://doi.org/10.19127/mbsjohs.1188899

Abstract

Supporting Institution

yok

Project Number

yok

Thanks

yok

References

  • 1- Atilla O D, Oray D, Akın S, Acar K, Bilge A. An Emergency Department perspective: Ambulance transfers and referral consents of the patients. Turk J Emerg Med 2010;10(4):175-180.
  • 2- Göncer Demiral D, Ozen U. Analysis of patient transfers between hospitals: an application on east black sea hospitals. Journal of Management and Economics Studies. 2020;18(4)190-208.
  • 3- Official Gazette (26.06.2008 Number: 26918) Circular on the Delivery of Emergency Health Services. (2008/13). p.1
  • 4- Cigerdelen, Tümay, Public Relations in the Health Sector, International Public Relations Symposium Proceedings. 1, Akdeniz University Faculty of Communication Publications, Antalya 2009:378-389.
  • 5- Gemlik Ni, Ayanoğlu Sisman F. “Management in Health Institutions” in Ayşegül Yıldırım Kaptanoğlu, Health Management, Beşir Bookstore, Istanbul 2010:90-120
  • 6- Kavuncubaşı S. Health Institutions Management, Anadolu University Publications No: 1178, Eskişehir 2011
  • 7- Assareh, H, Achat H M, Levesque J F, Leeder, S R. “Exploring Interhospital Transfers and Partnerships in The Hospital Sector in New South Wales, Australia”, Australian Health Review. 2017;41:672– 79.
  • 8- Lomi A, Mascia D, Vu, D Q, Pallott, Conaldi, G, Iwashyna, T J. Quality Of Care And Interhospital Collaboration: A Study Of Patient Transfers In Italy, Medical Care. 2014;52(5):407–14.
  • 9- Mascia D, Vincenzo F D, Cicchetti, A. Dynamic Analysis of Interhospital Collaboration and Competition: Empirical Evidence from An Italian Regional Health System, Health Policy. 2012:105(2):273–81.
  • 10- Yoldas H. Retrospective Analysis of Patients Referred to the 3rd Level Intensive Care Unit via 112 Command and Control Center. Firat Med. J 2020;25(1): 34-38.
  • 11- Yılmaz Karakus B, Cevik E, Dogan H, Sam M, Kutur A. 112 Emergency Health Service in the Metropolis. J Ist Faculty Med. 2014; 77:3.
  • 12- Güler S, Aksel, Ayılgan F T, Ozkan H I, Baz U, Orak Y. Evaluation of Emergency Interhospital Patient Transfers from Province of Mardin to Out-of-Province Hospitals in a Year. The Journal of Academic Emergency Medicine. 2014;13: 62–66.
  • 13- Kılıc M, Dokur M, Ulutasdemir N. Problems Experienced in Emergency Patient Referrals: An Evaluation at a Small Provincial Level. Summit Medical Journal. 2016;1(1):17–21.
  • 14- Benli A R, Koyuncu M, Cesur O, Karakaya E, Cüre R, Turan M Evaluation of the Use of 112 Emergency Ambulance Services in K.Karabuk. Journal of Clinical and Analytical Medicine. 2015;6:271–74.
  • 15- Onge T, Satar S, Kozacı N, Acıkalın A, Koseoglu Z, Gülen M, Karakurt U. “Analysis of Adult Patients Brought to Emergency Medicine Service by 112”, Journal of Academic Emergency Medicine. 2013;12(3):150–54.
  • 16- Zenginol M, Al B, Genc S, Deveci I, Yarbil P, Yılmaz D A, Sarcan E, Yıldırım C. 3-Year Study Results of 112 Emergency Ambulances in Gaziantep Province. Academic Journal of Emergency Medicine. 2011;10(1):27–32:963-7.

Analysis of Cases Referred from A Tertiary University Hospital Emergency Service: The Case of Ordu Province

Year 2022, Volume: 8 Issue: 4, 653 - 660, 30.11.2022
https://doi.org/10.19127/mbsjohs.1188899

Abstract

Objective: University hospitals are health institutions that have sufficient and equipped personnel for diseases that require advanced examination and special treatment, contain high technolo,gy and/or have an infrastructure or are expected to provide education-research services. In some cases of medical necessity, patients can be transferred from tertiary hospitals to both the same level and lower-level health institutions, and in some cases even to other centers outside the province where the patient is located. In this direction, it was aimed to retrospectively analyze the data of the cases referred to other centers from a tertiary hospital emergency department and to determine the deficiencies.
Methods: Archive records of 133 cases who were referred to other health centers from Ordu University Medical Faculty Training and Research Hospital's emergency service between 01.06.2022 and 31.08.2022 were examined. The demographic characteristics of the cases, referral diagnoses, referral branches, reasons for referral, types of hospitals, the relationship between referral branches and the type of hospital referred were examined as the campuses of referral centers.
Results: The most common reason for transferring the cases was the lack of an intensive care unit (57.1%), while the second most common reason was the absence of a patient service bed (23.3%). The most frequently referred patients were cardiology patients (20.3%) and the reason was not intensive care unit (88.9%), followed by chest diseases patients (19.5%) and no intensive care unit (61.5%). It was determined that 67% of cardiology patients were referred to a private hospital, 33% to a secondary level hospital, and 11.1% to another province.
Conclusion: Tertiary hospitals are expected to be more equipped centers than other hospitals in terms of technical, personnel, patient service, intensive care, and many other aspects. Only the quality of equipment and personnel is not sufficient in such centers. Patient beds and intensive care units are very important factors that should not be ignored.

Project Number

yok

References

  • 1- Atilla O D, Oray D, Akın S, Acar K, Bilge A. An Emergency Department perspective: Ambulance transfers and referral consents of the patients. Turk J Emerg Med 2010;10(4):175-180.
  • 2- Göncer Demiral D, Ozen U. Analysis of patient transfers between hospitals: an application on east black sea hospitals. Journal of Management and Economics Studies. 2020;18(4)190-208.
  • 3- Official Gazette (26.06.2008 Number: 26918) Circular on the Delivery of Emergency Health Services. (2008/13). p.1
  • 4- Cigerdelen, Tümay, Public Relations in the Health Sector, International Public Relations Symposium Proceedings. 1, Akdeniz University Faculty of Communication Publications, Antalya 2009:378-389.
  • 5- Gemlik Ni, Ayanoğlu Sisman F. “Management in Health Institutions” in Ayşegül Yıldırım Kaptanoğlu, Health Management, Beşir Bookstore, Istanbul 2010:90-120
  • 6- Kavuncubaşı S. Health Institutions Management, Anadolu University Publications No: 1178, Eskişehir 2011
  • 7- Assareh, H, Achat H M, Levesque J F, Leeder, S R. “Exploring Interhospital Transfers and Partnerships in The Hospital Sector in New South Wales, Australia”, Australian Health Review. 2017;41:672– 79.
  • 8- Lomi A, Mascia D, Vu, D Q, Pallott, Conaldi, G, Iwashyna, T J. Quality Of Care And Interhospital Collaboration: A Study Of Patient Transfers In Italy, Medical Care. 2014;52(5):407–14.
  • 9- Mascia D, Vincenzo F D, Cicchetti, A. Dynamic Analysis of Interhospital Collaboration and Competition: Empirical Evidence from An Italian Regional Health System, Health Policy. 2012:105(2):273–81.
  • 10- Yoldas H. Retrospective Analysis of Patients Referred to the 3rd Level Intensive Care Unit via 112 Command and Control Center. Firat Med. J 2020;25(1): 34-38.
  • 11- Yılmaz Karakus B, Cevik E, Dogan H, Sam M, Kutur A. 112 Emergency Health Service in the Metropolis. J Ist Faculty Med. 2014; 77:3.
  • 12- Güler S, Aksel, Ayılgan F T, Ozkan H I, Baz U, Orak Y. Evaluation of Emergency Interhospital Patient Transfers from Province of Mardin to Out-of-Province Hospitals in a Year. The Journal of Academic Emergency Medicine. 2014;13: 62–66.
  • 13- Kılıc M, Dokur M, Ulutasdemir N. Problems Experienced in Emergency Patient Referrals: An Evaluation at a Small Provincial Level. Summit Medical Journal. 2016;1(1):17–21.
  • 14- Benli A R, Koyuncu M, Cesur O, Karakaya E, Cüre R, Turan M Evaluation of the Use of 112 Emergency Ambulance Services in K.Karabuk. Journal of Clinical and Analytical Medicine. 2015;6:271–74.
  • 15- Onge T, Satar S, Kozacı N, Acıkalın A, Koseoglu Z, Gülen M, Karakurt U. “Analysis of Adult Patients Brought to Emergency Medicine Service by 112”, Journal of Academic Emergency Medicine. 2013;12(3):150–54.
  • 16- Zenginol M, Al B, Genc S, Deveci I, Yarbil P, Yılmaz D A, Sarcan E, Yıldırım C. 3-Year Study Results of 112 Emergency Ambulances in Gaziantep Province. Academic Journal of Emergency Medicine. 2011;10(1):27–32:963-7.
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research articles
Authors

Şeyda Tuba Savrun 0000-0002-6512-2987

Atakan Savrun 0000-0001-7468-4159

Project Number yok
Publication Date November 30, 2022
Published in Issue Year 2022 Volume: 8 Issue: 4

Cite

Vancouver Savrun ŞT, Savrun A. Analysis of Cases Referred from A Tertiary University Hospital Emergency Service: The Case of Ordu Province. Mid Blac Sea J Health Sci. 2022;8(4):653-60.

2310022108  22107  22106  22105  22103  22109 22137 22102  22110    e-ISSN 2149-7796