SGEM Xtra: This is My Life – Centralization of Rural Emergency Healthcare

Studien extrahiert aus dem Podcast von Dr. Ken Milne

• 2023Mortality before and after reconfiguration of the Danish hospital-based emergency healthcare systemEmergency & ResuscitationIn 11.4 million unplanned Danish hospital contacts, emergency care centralisation did not improve mortality trends versus prereconfiguration care.
• 2012ED Closure, Increased Distance to the Nearest ED, and Inpatient Mortality (California)Emergency & ResuscitationIn 785,385 California admissions with time-sensitive illness, longer distance to the nearest ED did not raise inpatient mortality versus unchanged distance.
• 2016Improving efficiency or impairing access? Health care consolidation and quality of careEmergency & ResuscitationIn 374,316 Swedish patients with acute myocardial infarction, each additional 10 km to the emergency hospital lowered survival compared with living closer.
• 2019Emergency Department Closures And OpeningsEmergency & ResuscitationIn 1.1 million patients with myocardial infarction, a nearby ED closure raised one-year mortality at high-occupancy hospitals versus unexposed hospitals.
• 2023Reconfiguring emergency and acute services: time to pause and reflectEmergency & ResuscitationIn emergency and acute care systems, centralisation of acute hospitals has not improved mortality compared with retaining local services.