UZUN SÜRELÝ TATÝLLERDE ACÝL SERVÝS HÝZMETLERÝ

Uzun süreli tatillerde bir çok kamu hizmeti aksamakta ve kesintisiz hizmet veren kurumlar ihtiyaca cevap veremez duruma gelmektedir. Tatillerden en çok etkilenen kurumlardan birisi de hastanelerdir. Sosyal hareketliliðin olduðu her yerde ve her durumda mutlaka hasta sayýsý da artacaktýr. Ülkemizde en büyük sosyal hareketlilik bayram tatillerinde olmaktadýr. Bu çalýþmada amaç, uzun süreli resmi tatillerde olan saðlýk problemini gündeme getirmek, bu dönem içinde acil servislerde yaþanan problemleri tartýþmak ve çözüm yollarýný aramaktýr. 1999 yýlý içinde Ramazan ve Kurban bayramlarýnda hafta sonlarý da birleþtirilerek dokuzar gün tatil yapýldý. Bu çalýþmada beriki tatil dönemindeki 18 günlük sürede Týp Fakültesi Hastanesi acil servisine baþvuran hastalar incelendi. Sonuçlar ayný dönemin bir ay öncesi ile karþýlaþtýrýldý.Her iki tatil süresinde acil servise toplam 2036 hasta baþvurmuþtur. Ayný dönemin 1 ay öncesi ile karþýlaþtýrýldýðýnda toplam hasta sayýsýnda % 32 artýþ olmuþtur. Bu hastalardan 610'u(%29) travma hastasýdýr. 310 hasta (%15) herhangi bir servise yatýrýlmýþtýr. 28 hasta (%1.3) çeþitli nedenlerden dolayý kaybedilmiþtir. Hastalar tanýlarýna göre incelendiðinde tatil döneminde toplam hasta sayýsýnýn % 75'i travma dýþý hastalardýr. Travma hastalarý incelendiðinde tatil döneminde trafik kazasý hastalarýnda % 15 artma olmuþtur. Bu dönemde iþ kazalarý ise % 5 azalmýþtýr. Tatil döneminde servislere yatýrýlan hasta sayýlarýnda belirgin bir artýþ tespit edilmemiþtir. Sonuç olarak resmi tatil sürelerinin uzamasý hastalar ve acil servislerin iþleyiþi açýsýndan dezavantajdýr. Tatil dönemlerinde acil servise baþvuran hasta sayýsý artmaktadýr. Artan talebe cevap verebilmek için ek tedbirler alýnmalýdýr. Özellikle trafik kazalarýnýn azaltýlmasý için gerekli çalýþmalar yapýlmalýdýr.

EMERGENCY DEPARTMENT SERVICES DURING LONG-TERM HOLIDAYS

Long-term holidays often hinder public services and non-stop continuous service institutions can not respond to the requirements. Hospitals are the most affected institutions during such holidays. Increase in the patient counts should also be expected where and when social activities frequently arise. The most augmented rise in social activities in our country are during the Bairam holidays. This study aims to deal with health problems during official long-term holidays, discuss those problems which take place in the emergency department and offer solutions. The Ramadan and Eiyd Bairam holidays in the year 1999, were officially combined with the weekends and both prolonged to nine days. In this study, those patients who were admitted to the Emergency Department Medical School, during the 18 days period through the previous month the both holidays were investigated. The result were compared with a similar period. 2036 patients were admitted to the emergency department during both holidays. When compared with one month ago, total patient count was increased by 32%. 610 (29%) of the patients were trauma patient. Trauma patients were increased by 59%. 310 patients (15%) were hospitalized. 28 patients (1.3%) were lost due to various reasons. 75% of the patients were non-trauma patients. Investigating the traumatized patients, road accidents are increased by 15% during the holidays, where industrial accidents were decreased by 5%. The number of hospitalized patients is not increased during the holidays. To conclude, prolonged the holidays are deleterious for both the patients and the emergency services. The number of patients applying to the emergency department is increased during the holidays. Additional measures must be undertaken to supply the increased demand. Necessary work-ups should also be held especially to avoid road traffic accidents.