P atients with diabetic ketoacidosis (DKA) are often managed in the emergency department before hospital admission. DKA hospitalizations comprise a significant portion of health care costs for diabetes (1). Although mortality for DKA has fallen, it remains an important cause of diabetes-associated death, especially among younger patients with diabetes (2). Prior analyses of DKA have been single...

During the 12-month period January–December 1994, an estimated 66.3 million visits were made to outpatient departments (OPD’s) of non-Federal, short-stay and general hospitals in the United States—25.6 visits per 100 persons. This was not significantly different from the 1993 rate of 24.6 visits per 100 persons. This report presents data on outpatient department visits from the 1994 National Ho...

BACKGROUND Health services across the world increasingly face pressures on the use of expensive hospital services. Better organisation and delivery of primary care has the potential to manage demand and reduce costs for hospital services, but routine primary care services are not open during evenings and weekends. Extended access (evening and weekend opening) is hypothesized to reduce pressure ...

Anjo City has two general hospitals. Kosei Hospital, a central medical center for advanced care, and our Yachiyo Hospital for regional care. Recently, Kosei Hospital faced over-capacity problem because of overflow in emergency visits and congested wards due to shortage of post-acute beds. We planned a project to ease the congestion of the central hospital and manage post-acute patients.

OBJECTIVES To calculate socioeconomic and health status measures for the primary care groups in London and to examine the association between these measures and hospital admission rates. DESIGN Cross sectional study. SETTING 66 primary care groups in London, total list size 8.0 million people. MAIN OUTCOME MEASURES Elective and emergency standardised hospital admission ratios; standardise...

Multicenter clinical research studies are often needed to address issues of generalizability, conditions with low incidence, adequate statistical power, and potential study bias. While pediatric research networks began work in the 1950s, and Rhode Island physicians have contributed to many of these studies, pediatric emergency medicine (PEM) collaboratives are relative newcomers. Since the mid-...

Croatian military medicine developed with the Croatian State and Army. Severe war conditions called for a military medicine that would integrate civil and military components: General Hospital Karlovac, medical corps of the Croatian Army, and emergency, preventive, and general medicine care. The wounded from the entire battlefield of the Karlovac area were admitted to and treated at the General...

OBJECTIVE The pay-for-performance (P4P) programme for diabetes care was implemented in Taiwan to promote holistic care for diabetic patients. This study investigated the effect of P4P on the need for emergency care for diabetic hypoglycaemia. RESEARCH DESIGN AND METHODS The Taiwan National Health Insurance Research Database was used to gather nationwide data on patients with new-onset type 2 ...