File Name: nonurgent emergency department patient characteristics and barriers to primary care .zip
In recent years, there has been an increased utilization of emergency departments EDs in many countries. Additionally, it is reported that there are major delays in delivering care to ED patients. Longer waiting times are associated with poor patient satisfaction, whereas an understanding of the triage process increases satisfaction.
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- Nonurgent patients in the emergency department? A French formula to prevent misuse
The pressures of patient demand on emergency departments EDs continue to be reported worldwide, with an associated negative impact on ED crowding and waiting times. It has also been reported that a proportion of attendances to EDs in different international systems could be managed in settings such as primary care. This study used routine ED data to define, measure and profile non-urgent ED attendances that were suitable for management in alternative, non-emergency settings.
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Metrics details. Overcrowding in emergency department EDs is partly due to the use of EDs by nonurgent patients. In France, the authorities responded to the problem by creating primary care units PCUs : alternative structures located near hospitals. The aims of the study were to assess the willingness of nonurgent patients to be reoriented to a PCU and to collect the reasons that prompted them to accept or refuse. We carried out a cross sectional survey on patients' use of EDs. The study was conducted in a French hospital ED.
Inappropriate use of emergency services: a systematic review of prevalence and associated factors. This systematic review aimed to measure the prevalence of inappropriate emergency department ED use by adults and associated factors. The review included 31 articles published in the last 12 years. Female patients, those without co-morbidities, without a regular physician, without a regular source of care, and those not referred to the ED by a physician also showed more inappropriate ED use, with the relative risk varying from 1. Difficulties in accessing primary health care difficulties in setting appointments, longer waiting periods, and short business hours at the primary health care service were also associated with inappropriate ED use. Thus, primary care requires fully qualified patient reception and efficient triage to promptly attend cases that cannot wait.
Reducing non-urgent emergency department ED visits has been targeted as a method to produce cost savings. To better describe these visits, we sought to compare resource utilization of ED visits characterized as non-urgent at triage to immediate, emergent, or urgent IEU visits. We performed a retrospective, cross-sectional analysis of the — National Hospital Ambulatory Medical Care Survey. Urgency of visits was categorized using the assigned 5-level triage acuity score. We analyzed resource utilization, including diagnostic testing, treatment, and hospitalization within each acuity categorization. From —,
Skip to search form Skip to main content You are currently offline. Some features of the site may not work correctly. DOI: Gentile and P. Vignally and Anne-Claire Durand and S. Gainotti and R. Sambuc and P.
Not a MyNAP member yet? Register for a free account to start saving and receiving special member only perks. The emergence of the modern emergency department ED is a surprisingly recent development. Prior to the s, emergency rooms were often poorly equipped, understaffed, unsupervised, and largely ignored. In many hospitals, the emergency room was a single room staffed by nurses and physicians with little or no training in the treatment of injuries. It was also common to use foreign medical school graduates in this capacity Rosen,
Nonurgent patients in the emergency department? A French formula to prevent misuse
Percentage of population reporting emergency department use by barrier to timely primary care access. Arch Intern Med. This can lead patients to use the emergency department ED as a ready alternative to their usual source of medical care, even when such care could be provided more cost-effectively in a primary care setting. The purpose of this study was to examine the relationship between ED visits and perceived barriers to receiving timely primary care.
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