Determinants of non-urgent emergency department use
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Outros Autores: | , , , , |
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. |
id |
RCAP_bde5f1b30816459b12ef9a9eb44921e9 |
---|---|
oai_identifier_str |
oai:iconline.ipleiria.pt:10400.8/3203 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.8/3203 |
url |
http://hdl.handle.net/10400.8/3203 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2182-2883 https://doi.org/10.12707/RIV17095 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799136968040251392 |