İkinci basamak olarak hizmet veren bir devlet hastanesinin acil servisinden dış merkezlere yapılan sevklerin analizi

Year 2025, Volume: 10 Issue: 1, 1 - 6, 30.04.2025

Mustafa Alpaslan

https://doi.org/10.55694/jamer.1647047

Abstract

Amaç: İkinci basamak olarak sağlık hizmeti veren bir devlet hastanesinin acil servisinden dış merkezlere yapılan sevklerin analizini yaparak sevklerin azaltılmasına yönelik yapılacak çalışmalara fikirler sunmaktır.
Yöntem: Bu çalışma retrospektif olarak ikinci basamak olarak sağlık hizmeti veren bir hastanede yapıldı. Çalışmada 01.01.2023-31.12.2023 tarihleri arasında acil servisten dış merkezlere yapılan sevkler analiz edildi.
Bulgular: Çalışma kapsamında 375 hasta değerlendirildi. Hastaların yaş ortalaması 36,43±25,98 oldu. Yaş aralığına göre bakıldığında en fazla hasta sevki 0-17 yaş aralığındaydı (%34,1). Hastaların %70,1’i erkekti. En fazla psikoaktif bozukluk (%13,6) nedeniyle sevk yapıldığı görüldü. Sevk nedenlerinin en sık yan dal uzmanı yokluğu (%30,4) ve ilgili branş uzmanı yokluğu (%30,4) nedeniyle olduğu görüldü. Branş olarak en çok çocuk cerrahi uzmanı yokluğu nedeniyle (%20) sevk yapıldı. Sevk edilen kurumlara bakıldığında en fazla şehir hastanelerine (%48) sevk yapıldı. En fazla hasta sevk edilen il Kayseri (%59,2) oldu.
Sonuç: İkinci basamak hastanelerde psikiyatri kliniği için fiziki olarak kapalı hasta servislerinin yaygınlaştırılması, yan dal uzmanı ve özellikle uzman sayısının az olduğu branşlarda hekim sayısının artırılması ile sevk edilen hasta sayılarında azalma olacağı düşünülmektedir.

Keywords

acil servis, hasta nakli, hastaneler arası, şehir hastaneleri

Analysis of Referrals to External Centers from the Emergency Department of a Public Hospital Serving as Secondary Care

Abstract

Aim: To analyze the referrals from the emergency department of a state hospital providing secondary health care
services to external centers and to provide ideas for studies to reduce referrals.
Materials and Methods: This retrospective study was conducted in the emergency department of a hospital
providing secondary health care. In the study, referrals from the emergency department to external centers between
01.01.2023-31.12.2023 were analyzed.
Results: Within the scope of the study, 375 patients were evaluated. The mean age of the patients was 36.43±25.98
years. According to the age range, the highest number of patient referrals was in the 0-17 age range (34.1%). 70.1% of
the patients were male. The most common reason for referral was psychoactive disorder (13.6%). The most common
reasons for referral were the absence of a subspecialist (30.4%) and the lack of a specialist in the relevant branch
(30.4%). The most common reason for referral was the absence of a pediatric surgery specialist (20%). Considering
the institutions to which patients were referred, most referrals were made to city hospitals (48%). Kayseri was the
province to which most patients were referred (59.2%).
Conclusion: It is thought that the number of referred patients will decrease with the expansion of physically secure
ward patient service for psychiatry clinics in secondary care hospitals and increasing the number of subspecialists
and physicians especially in branches where the number of specialists is inadequite.

Keywords

Emergency Department, Patient Transfer, City Hospitals

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