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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...

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Autores principales: Ghazali, Daniel Aiham, Richard, Arnaud, Chaudet, Arnaud, Choquet, Christophe, Guericolas, Maximilien, Casalino, Enrique
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
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.
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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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