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Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care
Consultations that do not require an emergency department (ED) level of care have increased. We explored attitudes of non-urgent patients in two academic hospitals in France with a similar fast track organization. One of them is a Parisian hospital with 90,000 patients/year who are admitted to the E...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6888183/ https://www.ncbi.nlm.nih.gov/pubmed/31726697 http://dx.doi.org/10.3390/ijerph16224431 |
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author | Ghazali, Daniel Aiham Richard, Arnaud Chaudet, Arnaud Choquet, Christophe Guericolas, Maximilien Casalino, Enrique |
author_facet | Ghazali, Daniel Aiham Richard, Arnaud Chaudet, Arnaud Choquet, Christophe Guericolas, Maximilien Casalino, Enrique |
author_sort | Ghazali, Daniel Aiham |
collection | PubMed |
description | Consultations that do not require an emergency department (ED) level of care have increased. We explored attitudes of non-urgent patients in two academic hospitals in France with a similar fast track organization. One of them is a Parisian hospital with 90,000 patients/year who are admitted to the ED, while the other admits 40,000 patients/year in a smaller city. During one month in 2018, the triage nurse handed out a survey to patients coming for non-urgent consultations. It was given back to the fast track physician at the end of the visit; 598 patients agreed to answer. They were mostly young males with adequate social coverage, consulting for osteo-articular pathologies, without any significant difference between the two sites (p = 0.32). They were equally satisfied with the care they received (p = 0.38). Satisfaction was inversely correlated to waiting time (p < 0.0001). Convenience, accessibility of emergency facilities, and geographic proximity were motivation factors. These results suggest that primary care providers who can access testing facilities in accordance with patient needs might be a solution to help reduce overcrowding in EDs. |
format | Online Article Text |
id | pubmed-6888183 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-68881832019-12-09 Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care Ghazali, Daniel Aiham Richard, Arnaud Chaudet, Arnaud Choquet, Christophe Guericolas, Maximilien Casalino, Enrique Int J Environ Res Public Health Article Consultations that do not require an emergency department (ED) level of care have increased. We explored attitudes of non-urgent patients in two academic hospitals in France with a similar fast track organization. One of them is a Parisian hospital with 90,000 patients/year who are admitted to the ED, while the other admits 40,000 patients/year in a smaller city. During one month in 2018, the triage nurse handed out a survey to patients coming for non-urgent consultations. It was given back to the fast track physician at the end of the visit; 598 patients agreed to answer. They were mostly young males with adequate social coverage, consulting for osteo-articular pathologies, without any significant difference between the two sites (p = 0.32). They were equally satisfied with the care they received (p = 0.38). Satisfaction was inversely correlated to waiting time (p < 0.0001). Convenience, accessibility of emergency facilities, and geographic proximity were motivation factors. These results suggest that primary care providers who can access testing facilities in accordance with patient needs might be a solution to help reduce overcrowding in EDs. MDPI 2019-11-12 2019-11 /pmc/articles/PMC6888183/ /pubmed/31726697 http://dx.doi.org/10.3390/ijerph16224431 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ghazali, Daniel Aiham Richard, Arnaud Chaudet, Arnaud Choquet, Christophe Guericolas, Maximilien Casalino, Enrique Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care |
title | Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care |
title_full | Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care |
title_fullStr | Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care |
title_full_unstemmed | Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care |
title_short | Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care |
title_sort | profile and motivation of patients consulting in emergency departments while not requiring such a level of care |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6888183/ https://www.ncbi.nlm.nih.gov/pubmed/31726697 http://dx.doi.org/10.3390/ijerph16224431 |
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