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- Title
Determinants of non-urgent emergency department use.
- Authors
Coelho Rodrigues Dixe, Maria dos Anjos; Passadouro, Rui; Peralta, Teresa; Ferreira, Carlos; Lourenço, Georgina; Lopes de Sousa, Pedro Miguel
- Abstract
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.
- Subjects
PORTUGAL; ANALYSIS of variance; CHI-squared test; STATISTICAL correlation; HOSPITAL emergency services; INTERVIEWING; RESEARCH methodology; T-test (Statistics); MEDICAL triage; SOCIOECONOMIC factors; CROSS-sectional method; PATIENTS' attitudes; INFERENTIAL statistics
- Publication
Revista de Enfermagem Referência, 2018, Vol 4, Issue 16, p41
- ISSN
0874-0283
- Publication type
Article
- DOI
10.12707/RIV17095