Evidence map›Paper›PMID 34442169›Full record

ArticleHealthcare (Basel, Switzerland)2021

Improvement the Healthcare Quality of Emergency Department after the Cloud-Based System of Medical Information-Exchange Implementation.

Ding-Chung Wu, Hong-Ling Lin, Chun-Gu Cheng, Chia-Peng Yu, Chun-An Cheng

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ding-Chung WuDepartment of Medical Records, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.
Hong-Ling LinDepartment of Medical Records, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.
Chun-Gu ChengDepartment of Emergency Medicine, Taoyuan Armed Force General Hospital, National Defense Medical Center, Taoyuan 32549, Taiwan.ORCID 0000-0002-1081-760X
Chia-Peng YuDepartment of Medical Records, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.
Chun-An ChengDepartment of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.ORCID 0000-0002-0380-7286

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe National Health Insurance has been implemented in Taiwan since 1995. The government established a medical information-exchange system to reduce duplicate medications and examinations, which have inhibited healthcare expenditures. The potential benefit of medical information exchange about healthcare quality in emergency departments (ED) was worthy of evaluating; Methods: The inquiry rate of cloud data for patients' information in Taiwanese National Health Insurance Administration was defined as a factor, and the healthcare quality included the ratio of staying more than 48 h in the ED and the hospitalization rate within 8 h from ED by triage levels of 1, 2, and 3 in different levels of hospitals from 2013 to 2019. Poisson regression analysis was used to quantify time trends of the query rate of the MediCloud system, the rate of staying more than 48 h in ED, admission rate within 8 h in ED, and the effect of healthcare quality in ED after MediCloud system implementation; Results: The health information exchange decreased the rate of staying over 48 h in the ED of medical centers. It also improved the early hospitalization of urgent ED patients in regional hospitals; Conclusions: Through medical information exchange to understand patients' current conditions, we can reduce crowding in the ED of medical centers and facilitate rapid hospitalization of urgent patients in regional hospitals. According to these findings, the government should establish medical information exchange to improve the healthcare quality of ED.

Indexed as

cloud-based systemhealthcare qualitymedical information exchange

Identifiers

PMID34442169
PMCPMC8392092

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