Journals / Eurasian Journal of Emergency Medicine / 2021 / Cilt: 20 - Sayı: 3

Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?

Pages
38–43
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Dissatisfaction with the FP is associated with the frequency of visits in the ED.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Patients with non-urgent (NU) issues go to the emergency department (ED) rather than to primary care providers, and this has become a worldwide problem.
📊
Key Findings & Data:A questionnaire was administered to NU (level 5) patients (aged ≥18 years) defined using the five-level triage system.
💡
Conclusion & Impact:Dissatisfaction with the FP is associated with the frequency of visits in the ED.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: Patients with non-urgent (NU) issues go to the emergency department (ED) rather than to primary care providers, and this has become a worldwide problem. Thus, this study aimed to determine the characteristics of NU patients and to compare the use of EDs and family physicians (FPs). Materials and Methods: This cross-sectional study was conducted in the ED of a tertiary hospital. A questionnaire was administered to NU (level 5) patients (aged ≥18 years) defined using the five-level triage system. Results: Upper respiratory tract infection symptoms (19.6%) and gastrointestinal system problems (18.6%) were the most common complaints. FP contact was made before the ED visit by 13.3% of the patients. Most of them (79.6%) stated that they were satisfied with their FP and 6.1% never went to the FP. As regards health problems, 39.5% and 29.3% reported that they preferred the FP and ED, respectively. The visiting frequency of ≥3 times per year was 30.1% for the ED and was 42.9% for the FPs. The frequency of ED visits of those who were not satisfied with their FP was significantly higher than those of other participants (p=0.025). A significant relationship was found between the frequency of ED visits and FP visits. Conclusion: Less than half of the patients preferred FPs when they had health problems. Those who visited the ED also frequently visited FPs. Dissatisfaction with the FP is associated with the frequency of visits in the ED.

🔖

Cite This Article

AKBAYRAM, H. T. (2022). Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. Eurasian Journal of Emergency Medicine, Cilt: 20 - Sayı: 3, 38–43. https://ajindex.com/articles/507943

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Tiagi R, Chechulin Y. The effect of rostering with a patient enrolment model on emergency department utilization. Healthc Policy. 2014;9:105-21
  2. Pacheco J, Cuadrado C, Martínez-Gutiérrez MS. Urgent care centres reduce emergency department and primary care same-day visits: a natural experiment. Health Policy Plan. 2019;34:170-7
  3. Seeger I, Kreienmeyer L, Hoffmann F, Freitag MH. Cross-sectional study in an out-of-hours primary care centre in northwestern Germany - patient characteristics and the urgency of their treatment. BMC Fam Pract. 2019;20:41
  4. Khangura JK, Flodgren G, Perera R, Rowe BH, Shepperd S. Primary care professionals providing non-urgent care in hospital emergency departments. Cochrane Database Syst Rev. 2012;11:CD002097
  5. Pines JM, Hilton JA, Weber EJ, Alkemade AJ, Al Shabanah H, Anderson PD, et al. International perspectives on emergency department crowding. Acad Emerg Med. 2011;18:1358-70
  6. Di Somma S, Paladino L, Vaughan L, Lalle I, Magrini L, Magnanti M. Overcrowding in emergency department: an international issue. Intern Emerg Med. 2015;10:171-5
  7. Huang LC, Chung WF, Liu SW, Wu JC, Chen LF, Chen YC. Characteristics of Non-Emergent Visits in Emergency Departments: Profiles and Longitudinal Pattern Changes in Taiwan, 2000-2010. Int J Environ Res Public Health. 2019;16:1999
  8. Uscher-Pines L, Pines J, Kellermann A, Gillen E, Mehrotra A. Emergency department visits for nonurgent conditions: systematic literature review. Am J Manag Care. 2013;19:47-59
  9. Bezzina AJ, Smith PB, Cromwell D, Eagar K. Primary care patients in the emergency department: who are they? A review of the definition of the ‘primary care patient’ in the emergency department. Emerg Med Australas. 2005;17:472-9
  10. Oslislo S, Heintze C, Schmiedhofer M, Möckel M, Schenk L, Holzinger F. How to decide adequately? Qualitative study of GPs’ view on decision-making in self-referred and physician-referred emergency department consultations in Berlin, Germany. BMJ Open. 2019;9:e026786
  11. Miyazawa A, Maeno T, Shaku F, Tsutsumi M, Kurihara H, Takayashiki A, et al. Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital. J Gen Fam Med. 2019;20:146-53
  12. Şimşek P, Gürsoy A. Turkish health care providers’ views on inappropriate use of emergency department: Who, when and why? Int Emerg Nurs. 2016;27:31-6
  13. Bektemur G, Osmanbeyoglu N, Cander B. Eurasian Journal of Emergency servi