Emergency medical problem for doctors in Iwate prefectural hospitals

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  • 岩手県立病院における救急医療の問題点
  • イワテ ケンリツ ビョウイン ニ オケル キュウキュウ イリョウ ノ モンダイテン

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Abstract

<p>A questionnaire administered to doctors who had resigned in 2013 from Iwate prefectural hospitals indicated their desire for a reduction of the burden of working day and night. With a sample of 17 Iwate prefectural hospitals, we investigated the number of ambulance and emergency patients, the ratio of primary to secondary emergency patients in secondary medical areas, the number of ambulance transports from secondary medical out-of-service areas, the number of times a single doctor worked a day or night shift alone for a month, and the numbers of emergency patients and patients provided emergency transport who received medical care from a single doctor during one shift and during 1 month in 2014. Although the total number of beds in Iwate prefectural hospitals was 30% of the total number of beds in Iwate, 70% of all emergency transports were to Iwate prefectural hospitals, and originated from almost every secondary medical areas. In total, 80% of emergency patients were primary emergency patients. Numbers of day or night shifts worked by a single doctor in a month in regional hospitals and numbers of emergency patients in flagship hospitals were more than those of other hospitals. At one hospital to which a few residents were assigned, residents treated a higher number of emergency patients and ambulance patients than was the case in other hospitals. In conclusion, the burden on doctors in Iwate prefectural hospitals is quite severe, and managing the distribution of work between primary and secondary emergency cases is of great importance in all hospitals of Iwate Prefecture.</p>

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