DETERMINANTS OF EMERGENCY DEPARTMENT USE BY AMBULATORY PATIENTS AT AN URBAN PUBLIC HOSPITAL

被引：53

作者：

BAKER, DW

STEVENS, CD

BROOK, RH

机构：

来源：

ANNALS OF EMERGENCY MEDICINE | 1995年 / 25卷 / 03期

关键词：

D O I：

10.1016/S0196-0644(95)70285-7

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To determine emergency department patients' perceptions of their illness urgency, their attempts to get care elsewhere, and the proportion of patients referred to the ED. Design: Cross-sectional design with self-administered questionnaires or interviews. Setting: Public hospital in Los Angeles County, California. Participants: Consecutive ambulatory patients totaling 1,190. Results: Most patients thought that they required immediate medical attention, even if they said that their condition was not serious, painful, or debilitating. Half of all patients sought care elsewhere before coming to the ED, and 38.2% had seen a doctor. Forty-four percent of all patients said they were referred to the ED by a doctor or a nurse. Referred patients had illness acuteness similar to that of patients who came to the ED on their own. Conclusion: In addition to their lack of access to other providers, patients' perceived need for immediate care and referrals by health professionals contribute to ED use for non-emergency conditions.

引用

页码：311 / 316

页数：6

共 19 条

[1]

Buesching, Jablonowski, Vesta, Et al., Inappropriate emergency department visits, Ann Emerg Med, 14, pp. 672-676, (1985)

[2]

Gough, Doctors' estimates of the percentage of patients whose problems do not require medical attention, Med Educ, 11, pp. 380-384, (1977)

[3]

Wolcott, What is an emergency? Depends on whom you ask, JACEP, 8, pp. 241-243, (1979)

[4]

Jacobs, Gavett, Wersinger, Emergency department utilization in an urban community, JAMA, 216, pp. 307-312, (1971)

[5]

Perkoff, Anderson, Relationship between demographic characteristics, patient's chief complaint, and medical care destination in an emergency room, Med Care, 8, (1970)

[6]

Bindman, Grumbach, Keane, Et al., Consequences of queuing for care at a public hospital emergency department, JAMA, 266, pp. 1091-1096, (1991)

[7]

Sigmond, Areawide planning for emergency services, JAMA, 100, pp. 132-136, (1967)

[8]

Baker, Stevens, Brook, Patients who leave a public hospital emergency department without being seen by a physician, JAMA, 266, pp. 1085-1090, (1991)

[9]

McCaig, National hospital ambulatory medical care survey: 1992 Emergency department summary, Advance Data, 245, (1994)

[10]

Stock, Bradley, Lewis, Et al., Patients who leave emergency department without being seen by a physician: Magnitude of the problem in Los Angeles County, Ann Emerg Med, 23, pp. 294-298, (1994)

← 1 2 →