The Interaction Level of Emergency Department Patients with Their Family Physicians and Their Expectations from Primary Health Care: A Survey Study

Amaç & Hipotez:Aim: One of the main reasons of emergency department (ED) crowding is that non-urgent patients often use EDs instead of primary healthcare.

📊

Temel Bulgular & Veri:The data of 800 patients wereanalyzed and compared, half of which were from non-urgent patients.Results: Urgent patients were mostly between 40 and 68 years of age with chronic diseases, while non-urgent patients were between 28and 48 years of age with a higher level of education and employment in a full-time job.

💡

Sonuç & Katkı:This may beeffective in reducing the ED crowding.

🔬Tür:Uygulamalı Anket & Alan Araştırması

📍Kapsam:Genişletilmiş Akademik Örneklem

⚙️Değişkenler:Alan Parametreleri

Abstract

Aim: One of the main reasons of emergency department (ED) crowding is that non-urgent patients often use EDs instead of primary healthcare. The aim of this study was to determine the interaction level of ED patients with their family physicians and their expectations fromprimary health care.Materials and Methods: This study was carried out with adult patients who admitted to ED within the regular working hours in a period ofone month. The study was conducted through questionnaires in a training and research hospital, in Turkey. The data of 800 patients wereanalyzed and compared, half of which were from non-urgent patients.Results: Urgent patients were mostly between 40 and 68 years of age with chronic diseases, while non-urgent patients were between 28and 48 years of age with a higher level of education and employment in a full-time job. It was determined that patients often applied toED on their own decision. Approximately one third of the patients stated that they did not initially consult their family physicians abouttheir health problems. As recommendations, both patient groups indicated that the primary health care should be more accessible and itshould provide more medical analysis.Conclusion: It was observed that non-urgent patients did not interact adequately with their family physicians. The recommendations ofthe patients should be taken into consideration and they should be encouraged to use primary health care more efficiently. This may beeffective in reducing the ED crowding.

🔖

Bu Makaleye Atıf Yap

EYLER, Y., ÜLGÜDÜR, C., KILIÇ, T. Y., BAYZIN, İ. A., İDİL, H., YEŞİLARAS, M. (2022). The Interaction Level of Emergency Department Patients with Their Family Physicians and Their Expectations from Primary Health Care: A Survey Study. Eurasian Journal of Emergency Medicine, Cilt: 18 - Sayı: 3, 122–127. https://ajindex.com/articles/508005

📄 Tam Metin PDF Okuyucu

Yeni Sekmede Aç ↗

↗Yeni Sekme

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (13)

Bektemur G, Osmanbeyoglu N, Cander B. Emergency Department Care Survey. Eurasian J Emerg Med. 2015;14(Supplement 1):1-38
Higginson I. Emergency department crowding. Emerg Med J. 2012;29:437-43
Gentile S, Vignally P, Durand AC, Gainotti S, Sambuc R, Gerbeaux P. Nonurgent patients in the emergency department? A French formula to prevent misuse. BMC Health Serv Res. 2010;10:66
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
Şimşek P, Gürsoy A. Turkish health care providers› views on inappropriate use of emergency department: Who, when and why? Int Emerg Nurs. 2015;27:31-6
Tsai JCH, Liang YW, Pearson WS. Utilization of emergency department in patients with non-urgent medical problems: patient preference and emergency department convenience. J Formos Med Assoc. 2010;109:533-42
Durand AC, Gentile S, Devictor B, Palazzolo S, Vignally P, Gerbeaux P, et al. ED patients: how nonurgent are they? Systematic review of the emergency medicine literature. Am J Emerg Med. 2011;29:333-45
Thompson MI, Lasserson D, McCann L, Thompson M, Heneghan C. Suitability of emergency department attenders to be assessed in primary care: survey of general practitioner agreement in a random sample of triage records analysed in a service evaluation project. BMJ Open. 2013;3:e3612
Public Hospitals Institution of Turkey Database, 2017. Web site. Available at
Idil H, Kilic TY, Toker I, Dura Turan K, Yesilaras M. Non-urgent adult patients in the emergency department: Causes and patient characteristics. Turk J Emerg Med. 2018;2:71-4
Penson R, Coleman P, Mason S, Nicholl JJ. Why do patients with minor or moderate conditions that could be managed in other settings attend the emergency department? Emerg Med J. 2012;29:487-91
Durand AC, Palazzolo S, Tanti-Hardouin N, Gerbeaux P, Sambuc R, Gentile S. Non-urgent patients in emergency departments: rational or irresponsible consumers? Perceptions of professionals and patients. BMC Research Notes. 2012;5:525-33
Andrews H, Kass L. Non-urgent use of emergency departments: populations most likely to overestimate illness severity. Intern Emerg Med. 2018;13:893- 900.