ArticleDeutsches Arzteblatt international2020
Forced Centralized Allocation of Patients to Temporarily 'Closed' Emergency Departments.
Article in Deutsches Arzteblatt international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- [Terror attacks : Recommendations for cooperation between police, hospitals and non-police security services].Die Anaesthesiologie · 2024Article
- [Impact of the COVID-19 pandemic on the care of major trauma patients: analysis from the TraumaRegister DGU®].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Analysis of severe hand trauma injury frequency during "Munich's Oktoberfest" within the last 9 years in comparison to years with absence due to the COVID-19 pandemic.Archives of orthopaedic and trauma surgery · 2023Article
- [Digital systems to support emergency medical service : A Germany-wide cross-sectional survey on current availability, utilization and existing challenges].Die Anaesthesiologie · 2022Article
- [Childhood emergencies-worsening healthcare bottlenecks for children in a systematic long-term analysis of the EMS system in a German metropolis].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
- [SARS-CoV-2, influenza and norovirus infection : A direct epidemiologic comparison].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
- Pediatric Emergencies-Worsening Care Bottlenecks as Exemplified in a Major German City.Deutsches Arzteblatt international · 2021Article
- Forced Centralized Allocation of Patients to Temporarily 'Closed' Emergency Departments.Deutsches Arzteblatt international · 2020Article
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Abstract
backgroundBecause insufficient data are available, the overall number of patients treated in German emergency departments can only be estimated. It is evident, however, that case numbers have been rising steadily in recent years, and that a lack of capacity is now leading with increasing freuqency to forced centralized allocation of patients by the emergency medical services (EMS) to emergency departments that are, officially, temporarily "closed".
methodsTrends in patient allocation of this type in greater Munich, Germany, over the years 2013-2019 were analyzed for the first time on the basis of data from 904 997 cases treated by the emergency rescue services.
resultsFrom 2014 to 2019, the number of forced centralized patient allocations rose approximately by a factor of nine, from 70 to 634 per 100 000 persons per year. In the same period, the overall number of cases treated by the emergency rescue services rose by 14.5%. Peak values for forced centralized allocations were reached in the first quarter of each calendar year (2015: 1579, 2017: 2435, 2018: 3161, 2019: 3990). Of all medical specialties, internal medicine was the most heavily affected (more than 59% of the total). Especially in the years 2017-2019, the free availability of internal medicine declined in hospitals participating in the common greater Munich reporting system.
conclusionThe reasons for the sharp rise in forced centralized allocations are unclear. This observed trend seems likely to persist over the coming years, in view of the current staff shortage, the aging population, and diminishing hospital capacities. The relevant decision-makers must collaborate to create emergency plans that will prevent care bottlenecks so that patients will not be endangered.
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