Abandono do Serviço de Urgência Pediátrico Antes da Observação Médica: Quais os Motivos e o Que o Teria Impedido?
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/2964 |
Resumo: | INTRODUCTION: Children who visit emergency departments and leave without being seen represent a multifactorial problem. We aimed to compare the sociodemographic characteristics of children who left and of those who did not leave, as well as to evaluate parental reasoning, subsequent use of medical care and patient outcome. MATERIAL AND METHODS: This was a prospective case-control study of a random sample of children who left without being seen and their matched controls from an emergency department during a three-month period. We performed a phone questionnaire to obtain information concerning reasons for leaving, patient outcomes and general feedback. RESULTS: During the study period, 18 200 patients presented to the emergency department, of whom 92 (0.5%) left without being seen. Fifty-five (59.8%) completed the questionnaire and there were 82 controls. The most common reasons for leaving were 'excessive waiting time' (92.7%) and 'problem could wait' (21.8%). A significantly higher number of patients who left sought further medical care (78.2% vs 11%) but they did not experience higher levels of unfavourable outcomes. DISCUSSION: The waiting time seems to be the major factor that drives the decision to leave. The fact that parents felt safe in leaving and the low level of adverse outcomes highlights the low-acuity nature of the majority of patients who leave. CONCLUSION: Reducing the waiting times may be the logical strategic mean to decrease the rates of patients who leave without being seen. However, our data seems to indicate that the concerns surrounding clinical outcome after leaving may be partly unwarranted. |
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Abandono do Serviço de Urgência Pediátrico Antes da Observação Médica: Quais os Motivos e o Que o Teria Impedido?Children Who Leave the Emergency Department Without Being Seen: Why Did They Leave and What Would Make Them Stay?Patient Acceptance of Health CarePatient DropoutsOutcome AssessmentEmergency Service, HospitalChildPortugalHDE PEDINTRODUCTION: Children who visit emergency departments and leave without being seen represent a multifactorial problem. We aimed to compare the sociodemographic characteristics of children who left and of those who did not leave, as well as to evaluate parental reasoning, subsequent use of medical care and patient outcome. MATERIAL AND METHODS: This was a prospective case-control study of a random sample of children who left without being seen and their matched controls from an emergency department during a three-month period. We performed a phone questionnaire to obtain information concerning reasons for leaving, patient outcomes and general feedback. RESULTS: During the study period, 18 200 patients presented to the emergency department, of whom 92 (0.5%) left without being seen. Fifty-five (59.8%) completed the questionnaire and there were 82 controls. The most common reasons for leaving were 'excessive waiting time' (92.7%) and 'problem could wait' (21.8%). A significantly higher number of patients who left sought further medical care (78.2% vs 11%) but they did not experience higher levels of unfavourable outcomes. DISCUSSION: The waiting time seems to be the major factor that drives the decision to leave. The fact that parents felt safe in leaving and the low level of adverse outcomes highlights the low-acuity nature of the majority of patients who leave. CONCLUSION: Reducing the waiting times may be the logical strategic mean to decrease the rates of patients who leave without being seen. However, our data seems to indicate that the concerns surrounding clinical outcome after leaving may be partly unwarranted.Centro Editor Livreiro da Ordem dos MédicosRepositório do Centro Hospitalar Universitário de Lisboa Central, EPESousa, RCorreia, CValsassina, RMoeda, SPaínho, TOom, P2018-05-10T08:14:10Z2018-02-282018-02-28T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2964porActa Med Port. 2018 Feb 28;31(2):109-114info: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:RCAAP2023-03-10T09:40:32Zoai:repositorio.chlc.min-saude.pt:10400.17/2964Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:20:16.999929Repositório 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 |
Abandono do Serviço de Urgência Pediátrico Antes da Observação Médica: Quais os Motivos e o Que o Teria Impedido? Children Who Leave the Emergency Department Without Being Seen: Why Did They Leave and What Would Make Them Stay? |
title |
Abandono do Serviço de Urgência Pediátrico Antes da Observação Médica: Quais os Motivos e o Que o Teria Impedido? |
spellingShingle |
Abandono do Serviço de Urgência Pediátrico Antes da Observação Médica: Quais os Motivos e o Que o Teria Impedido? Sousa, R Patient Acceptance of Health Care Patient Dropouts Outcome Assessment Emergency Service, Hospital Child Portugal HDE PED |
title_short |
Abandono do Serviço de Urgência Pediátrico Antes da Observação Médica: Quais os Motivos e o Que o Teria Impedido? |
title_full |
Abandono do Serviço de Urgência Pediátrico Antes da Observação Médica: Quais os Motivos e o Que o Teria Impedido? |
title_fullStr |
Abandono do Serviço de Urgência Pediátrico Antes da Observação Médica: Quais os Motivos e o Que o Teria Impedido? |
title_full_unstemmed |
Abandono do Serviço de Urgência Pediátrico Antes da Observação Médica: Quais os Motivos e o Que o Teria Impedido? |
title_sort |
Abandono do Serviço de Urgência Pediátrico Antes da Observação Médica: Quais os Motivos e o Que o Teria Impedido? |
author |
Sousa, R |
author_facet |
Sousa, R Correia, C Valsassina, R Moeda, S Paínho, T Oom, P |
author_role |
author |
author2 |
Correia, C Valsassina, R Moeda, S Paínho, T Oom, P |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Sousa, R Correia, C Valsassina, R Moeda, S Paínho, T Oom, P |
dc.subject.por.fl_str_mv |
Patient Acceptance of Health Care Patient Dropouts Outcome Assessment Emergency Service, Hospital Child Portugal HDE PED |
topic |
Patient Acceptance of Health Care Patient Dropouts Outcome Assessment Emergency Service, Hospital Child Portugal HDE PED |
description |
INTRODUCTION: Children who visit emergency departments and leave without being seen represent a multifactorial problem. We aimed to compare the sociodemographic characteristics of children who left and of those who did not leave, as well as to evaluate parental reasoning, subsequent use of medical care and patient outcome. MATERIAL AND METHODS: This was a prospective case-control study of a random sample of children who left without being seen and their matched controls from an emergency department during a three-month period. We performed a phone questionnaire to obtain information concerning reasons for leaving, patient outcomes and general feedback. RESULTS: During the study period, 18 200 patients presented to the emergency department, of whom 92 (0.5%) left without being seen. Fifty-five (59.8%) completed the questionnaire and there were 82 controls. The most common reasons for leaving were 'excessive waiting time' (92.7%) and 'problem could wait' (21.8%). A significantly higher number of patients who left sought further medical care (78.2% vs 11%) but they did not experience higher levels of unfavourable outcomes. DISCUSSION: The waiting time seems to be the major factor that drives the decision to leave. The fact that parents felt safe in leaving and the low level of adverse outcomes highlights the low-acuity nature of the majority of patients who leave. CONCLUSION: Reducing the waiting times may be the logical strategic mean to decrease the rates of patients who leave without being seen. However, our data seems to indicate that the concerns surrounding clinical outcome after leaving may be partly unwarranted. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-05-10T08:14:10Z 2018-02-28 2018-02-28T00:00:00Z |
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/10400.17/2964 |
url |
http://hdl.handle.net/10400.17/2964 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Acta Med Port. 2018 Feb 28;31(2):109-114 |
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.publisher.none.fl_str_mv |
Centro Editor Livreiro da Ordem dos Médicos |
publisher.none.fl_str_mv |
Centro Editor Livreiro da Ordem dos Médicos |
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 |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131298812395520 |