Inappropriate use of emergency services: a systematic review of prevalence and associated factors
Autor(a) principal: | |
---|---|
Data de Publicação: | 2009 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2009000100002 |
Resumo: | This systematic review aimed to measure the prevalence of inappropriate emergency department (ED) use by adults and associated factors. The review included 31 articles published in the last 12 years. Prevalence of inappropriate ED use varied from 20 to 40% and was associated with age and income. Female patients, those without co-morbidities, without a regular physician, without a regular source of care, and those not referred to the ED by a physician also showed more inappropriate ED use, with the relative risk varying from 1.12 to 2.42. Difficulties in accessing primary health care (difficulties in setting appointments, longer waiting periods, and short business hours at the primary health care service) were also associated with inappropriate ED use. Thus, primary care requires fully qualified patient reception and efficient triage to promptly attend cases that cannot wait. It is also necessary to orient the population on situations in which they should go to the ED and on the disadvantages of consulting the ED when the case is not really urgent. |
id |
FIOCRUZ-5_781d72ed3a917af52a4b281b09194921 |
---|---|
oai_identifier_str |
oai:scielo:S0102-311X2009000100002 |
network_acronym_str |
FIOCRUZ-5 |
network_name_str |
Cadernos de Saúde Pública |
repository_id_str |
|
spelling |
Inappropriate use of emergency services: a systematic review of prevalence and associated factorsEmergency Medical ServicesHealth Services MisuseAdultEvaluation StudiesThis systematic review aimed to measure the prevalence of inappropriate emergency department (ED) use by adults and associated factors. The review included 31 articles published in the last 12 years. Prevalence of inappropriate ED use varied from 20 to 40% and was associated with age and income. Female patients, those without co-morbidities, without a regular physician, without a regular source of care, and those not referred to the ED by a physician also showed more inappropriate ED use, with the relative risk varying from 1.12 to 2.42. Difficulties in accessing primary health care (difficulties in setting appointments, longer waiting periods, and short business hours at the primary health care service) were also associated with inappropriate ED use. Thus, primary care requires fully qualified patient reception and efficient triage to promptly attend cases that cannot wait. It is also necessary to orient the population on situations in which they should go to the ED and on the disadvantages of consulting the ED when the case is not really urgent.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2009-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2009000100002Cadernos de Saúde Pública v.25 n.1 2009reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2009000100002info:eu-repo/semantics/openAccessCarret,Maria Laura VidalFassa,Ana Claudia GastalDomingues,Marlos Rodrigueseng2009-01-21T00:00:00Zoai:scielo:S0102-311X2009000100002Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2009-01-21T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Inappropriate use of emergency services: a systematic review of prevalence and associated factors |
title |
Inappropriate use of emergency services: a systematic review of prevalence and associated factors |
spellingShingle |
Inappropriate use of emergency services: a systematic review of prevalence and associated factors Carret,Maria Laura Vidal Emergency Medical Services Health Services Misuse Adult Evaluation Studies |
title_short |
Inappropriate use of emergency services: a systematic review of prevalence and associated factors |
title_full |
Inappropriate use of emergency services: a systematic review of prevalence and associated factors |
title_fullStr |
Inappropriate use of emergency services: a systematic review of prevalence and associated factors |
title_full_unstemmed |
Inappropriate use of emergency services: a systematic review of prevalence and associated factors |
title_sort |
Inappropriate use of emergency services: a systematic review of prevalence and associated factors |
author |
Carret,Maria Laura Vidal |
author_facet |
Carret,Maria Laura Vidal Fassa,Ana Claudia Gastal Domingues,Marlos Rodrigues |
author_role |
author |
author2 |
Fassa,Ana Claudia Gastal Domingues,Marlos Rodrigues |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Carret,Maria Laura Vidal Fassa,Ana Claudia Gastal Domingues,Marlos Rodrigues |
dc.subject.por.fl_str_mv |
Emergency Medical Services Health Services Misuse Adult Evaluation Studies |
topic |
Emergency Medical Services Health Services Misuse Adult Evaluation Studies |
description |
This systematic review aimed to measure the prevalence of inappropriate emergency department (ED) use by adults and associated factors. The review included 31 articles published in the last 12 years. Prevalence of inappropriate ED use varied from 20 to 40% and was associated with age and income. Female patients, those without co-morbidities, without a regular physician, without a regular source of care, and those not referred to the ED by a physician also showed more inappropriate ED use, with the relative risk varying from 1.12 to 2.42. Difficulties in accessing primary health care (difficulties in setting appointments, longer waiting periods, and short business hours at the primary health care service) were also associated with inappropriate ED use. Thus, primary care requires fully qualified patient reception and efficient triage to promptly attend cases that cannot wait. It is also necessary to orient the population on situations in which they should go to the ED and on the disadvantages of consulting the ED when the case is not really urgent. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2009000100002 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2009000100002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-311X2009000100002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.25 n.1 2009 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115728619864064 |