Why do patients use hospital emergency services on their own initiative?

The aim of this study was to determine the reasons why patients use hospital emergency services (HES) on their own initiative and the characteristics of these users. An ad hoc questionnaire was designed and applied by consecutive selection to patients who could have waited for medical care (level 1...

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Veröffentlicht in:Gaceta sanitaria 2006-07, Vol.20 (4), p.311-315
Hauptverfasser: Aranaz Andrés, Jesús M, Martínez Nogueras, Rafael, Gea Velázquez de Castro, M Teresa, Rodrigo Bartual, Vicenta, Antón García, Pedro, Pajares, Fernando Gómez
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container_end_page 315
container_issue 4
container_start_page 311
container_title Gaceta sanitaria
container_volume 20
creator Aranaz Andrés, Jesús M
Martínez Nogueras, Rafael
Gea Velázquez de Castro, M Teresa
Rodrigo Bartual, Vicenta
Antón García, Pedro
Pajares, Fernando Gómez
description The aim of this study was to determine the reasons why patients use hospital emergency services (HES) on their own initiative and the characteristics of these users. An ad hoc questionnaire was designed and applied by consecutive selection to patients who could have waited for medical care (level 1 triage) over a 1-week period in November 2002. A total of 348 patients completed the questionnaire; 82.5% attended on their own initiative; of these, 17.7% reported they did not know how Primary Care worked in relation to the Emergency Services; 18.8% consulted a Primary Care physician; 55.0% preferred the HES and 13.5% attended because of a delay in another health care setting. Half the patients (50.5%) were younger than 40 years old and 9.2% were foreigners. Changes in health services' consumption patterns could jeopardize the public health system unless supply is adapted to the demand expressed and/or interventions are performed to educate the public in rational health services' consumption.
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source MEDLINE; DOAJ Directory of Open Access Journals; ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals
subjects Adolescent
Adult
Aged
Aged, 80 and over
Emergency Service, Hospital - utilization
Female
Humans
Male
Middle Aged
Motivation
Patient Acceptance of Health Care - psychology
Patient Acceptance of Health Care - statistics & numerical data
Spain
Surveys and Questionnaires
title Why do patients use hospital emergency services on their own initiative?
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