NONURGENT USE OF THE EMERGENCY DEPARTMENT - APPROPRIATE OR NOT

被引:45
作者
GILL, JM
机构
[1] Department of Family and Community Medicine, The Medical Center of Delaware, Wilmington
关键词
D O I
10.1016/S0196-0644(94)70213-6
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
People often assume that the use of hospital emergency departments for nonurgent problems is inappropriate. To test this assumption, several questions must be answered. These include, ''How do we determine what is appropriate use of an ED?''; ''How can we measure urgency in the ED?''; ''Is care for nonurgent problems less effective in an ED than in a primary care facility?''; and ''Is nonurgent care more costly in an ED than in a primary care facility?'' These four questions are addressed, and suggestions for future research that would help answer these questions are made.
引用
收藏
页码:953 / 957
页数:5
相关论文
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[1]  
Nadel, Emergency Departments: Unevenly Affected by Growth and Change in Patient Use, (1993)
[2]  
Andrulis, Kellermann, Hintz, Et al., Emergency departments and crowding in United States teaching hospitals, Ann Emerg Med, 20, (1991)
[3]  
Geyman, Trends and concerns in emergency room utilization, J Fam Prac, 11, (1980)
[4]  
Baker, Stevens, Brook, Regular source of ambulatory care and medical care utilization by patients presenting to a public hospital emergency department, JAMA, 271, (1994)
[5]  
Baker, Stevens, Brook, Patients who leave a public hospital emergency department without being seen by a physician, JAMA, 266, (1991)
[6]  
Bindman, Grumbach, Keane, Et al., Consequences of queuing for care at a public hospital emergency department, JAMA, 266, (1991)
[7]  
Moore, Bernstein, Bonanno, Effect of a neighborhood health center on hospital emergency room use, Med Care, 10, pp. 240-247, (1972)
[8]  
Hochheiser, Woodward, Charney, Effect of the neighborhood health center on the use of pediatric emergency departments in Rochester, New York, N Engl J Med, 285, pp. 148-152, (1971)
[9]  
Hurley, Freund, Taylor, Emergency room use and primary care case management: Evidence from four Medicaid demonstration programs, Am J Public Health, 79, pp. 843-846, (1989)
[10]  
Hurley, Freund, Taylor, Gatekeeping the emergency department: Impact of a Medical primary care case management program, Health Care Manage Rev, 14, pp. 63-71, (1989)