Determinants of non-urgent emergency department use

Detalhes bibliográficos
Autor(a) principal: Dixe, Maria dos Anjos
Data de Publicação: 2018
Outros Autores: Passadouro, Rui, Peralta, Teresa, Ferreira, Carlos, Lourenço, Georgina, Sousa, Pedro Miguel Lopes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.8/3203
Resumo: Background: The use of the emergency department (ED) for non-urgent situations is a source of concern, both at the national and international levels. Objectives: To assess the sociodemographic characteristics and ED use of non-urgent patients and to identify the reasons for non-urgent ED use. Methodology: This cross-sectional study used patient interviews and the electronic medical records of 357 patients triaged as non-urgent at a Portuguese hospital ED, using an accidental sampling technique. Results: The majority of patients were women, middle-aged, and had a low education level; most of them used the ED during the day and on their own initiative. The most common reasons were: My disease justifies ED use (91.7%) and I can undergo all medical examinations on the same day (65.6%). The majority of patients (87.9%) were discharged, and 84.9% had access to a family doctor. Conclusion: Multiple determinants of non-urgent ED use were identified. Some recommendations were put forward to improve the rational use of healthcare services.
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spelling Determinants of non-urgent emergency department useDeterminantes do acesso ao serviço de urgência por utentes não urgentesDeterminantes del acceso al servicio de urgencias por usuarios no urgentesEmergency medical servicesHealth servicesPatient careAdultBackground: The use of the emergency department (ED) for non-urgent situations is a source of concern, both at the national and international levels. Objectives: To assess the sociodemographic characteristics and ED use of non-urgent patients and to identify the reasons for non-urgent ED use. Methodology: This cross-sectional study used patient interviews and the electronic medical records of 357 patients triaged as non-urgent at a Portuguese hospital ED, using an accidental sampling technique. Results: The majority of patients were women, middle-aged, and had a low education level; most of them used the ED during the day and on their own initiative. The most common reasons were: My disease justifies ED use (91.7%) and I can undergo all medical examinations on the same day (65.6%). The majority of patients (87.9%) were discharged, and 84.9% had access to a family doctor. Conclusion: Multiple determinants of non-urgent ED use were identified. Some recommendations were put forward to improve the rational use of healthcare services.IC-OnlineDixe, Maria dos AnjosPassadouro, RuiPeralta, TeresaFerreira, CarlosLourenço, GeorginaSousa, Pedro Miguel Lopes2018-04-18T11:04:45Z20182018-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.8/3203eng2182-2883https://doi.org/10.12707/RIV17095info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-17T15:46:42Zoai:iconline.ipleiria.pt:10400.8/3203Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:47:22.328701Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Determinants of non-urgent emergency department use
Determinantes do acesso ao serviço de urgência por utentes não urgentes
Determinantes del acceso al servicio de urgencias por usuarios no urgentes
title Determinants of non-urgent emergency department use
spellingShingle Determinants of non-urgent emergency department use
Dixe, Maria dos Anjos
Emergency medical services
Health services
Patient care
Adult
title_short Determinants of non-urgent emergency department use
title_full Determinants of non-urgent emergency department use
title_fullStr Determinants of non-urgent emergency department use
title_full_unstemmed Determinants of non-urgent emergency department use
title_sort Determinants of non-urgent emergency department use
author Dixe, Maria dos Anjos
author_facet Dixe, Maria dos Anjos
Passadouro, Rui
Peralta, Teresa
Ferreira, Carlos
Lourenço, Georgina
Sousa, Pedro Miguel Lopes
author_role author
author2 Passadouro, Rui
Peralta, Teresa
Ferreira, Carlos
Lourenço, Georgina
Sousa, Pedro Miguel Lopes
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv IC-Online
dc.contributor.author.fl_str_mv Dixe, Maria dos Anjos
Passadouro, Rui
Peralta, Teresa
Ferreira, Carlos
Lourenço, Georgina
Sousa, Pedro Miguel Lopes
dc.subject.por.fl_str_mv Emergency medical services
Health services
Patient care
Adult
topic Emergency medical services
Health services
Patient care
Adult
description Background: The use of the emergency department (ED) for non-urgent situations is a source of concern, both at the national and international levels. Objectives: To assess the sociodemographic characteristics and ED use of non-urgent patients and to identify the reasons for non-urgent ED use. Methodology: This cross-sectional study used patient interviews and the electronic medical records of 357 patients triaged as non-urgent at a Portuguese hospital ED, using an accidental sampling technique. Results: The majority of patients were women, middle-aged, and had a low education level; most of them used the ED during the day and on their own initiative. The most common reasons were: My disease justifies ED use (91.7%) and I can undergo all medical examinations on the same day (65.6%). The majority of patients (87.9%) were discharged, and 84.9% had access to a family doctor. Conclusion: Multiple determinants of non-urgent ED use were identified. Some recommendations were put forward to improve the rational use of healthcare services.
publishDate 2018
dc.date.none.fl_str_mv 2018-04-18T11:04:45Z
2018
2018-01-01T00:00:00Z
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2182-2883
https://doi.org/10.12707/RIV17095
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