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 |
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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. |
format | Article |
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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.</description><identifier>ISSN: 0213-9111</identifier><identifier>PMID: 16942719</identifier><language>spa</language><publisher>Spain</publisher><subject>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</subject><ispartof>Gaceta sanitaria, 2006-07, Vol.20 (4), p.311-315</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16942719$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aranaz Andrés, Jesús M</creatorcontrib><creatorcontrib>Martínez Nogueras, Rafael</creatorcontrib><creatorcontrib>Gea Velázquez de Castro, M Teresa</creatorcontrib><creatorcontrib>Rodrigo Bartual, Vicenta</creatorcontrib><creatorcontrib>Antón García, Pedro</creatorcontrib><creatorcontrib>Pajares, Fernando Gómez</creatorcontrib><title>Why do patients use hospital emergency services on their own initiative?</title><title>Gaceta sanitaria</title><addtitle>Gac Sanit</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Emergency Service, Hospital - utilization</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Spain</subject><subject>Surveys and Questionnaires</subject><issn>0213-9111</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j0FLwzAYhnNQ3Jz-BcnJWyFfmjbNSWSoEwZeBh5Lkn61kbapSTrpv3fgdnouz_PCe0XWjEOeKQBYkdsYvxnjTFXshqygVIJLUGuy--wW2ng66eRwTJHOEWnn4-SS7ikOGL5wtAuNGI7OYqR-pKlDF6j_HakbXXKn8ohPd-S61X3E-zM35PD6ctjusv3H2_v2eZ9NhVBZ2zYm16VpChCFbDVTJWsbIYUCaXiuVWGZ4A2CMIC5NFYVwK20pTLaSqbyDXn8n52C_5kxpnpw0WLf6xH9HOuyqoBzBSfx4SzOZsCmnoIbdFjqy_X8D4z3VIg</recordid><startdate>200607</startdate><enddate>200607</enddate><creator>Aranaz Andrés, Jesús M</creator><creator>Martínez Nogueras, Rafael</creator><creator>Gea Velázquez de Castro, M Teresa</creator><creator>Rodrigo Bartual, Vicenta</creator><creator>Antón García, Pedro</creator><creator>Pajares, Fernando Gómez</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200607</creationdate><title>Why do patients use hospital emergency services on their own initiative?</title><author>Aranaz Andrés, Jesús M ; Martínez Nogueras, Rafael ; Gea Velázquez de Castro, M Teresa ; Rodrigo Bartual, Vicenta ; Antón García, Pedro ; Pajares, Fernando Gómez</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p549-ffdb3a6bd51457fa0960fd474917b23a95c042de14b1e37bc9512c7c69bac7093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Emergency Service, Hospital - utilization</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Spain</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aranaz Andrés, Jesús M</creatorcontrib><creatorcontrib>Martínez Nogueras, Rafael</creatorcontrib><creatorcontrib>Gea Velázquez de Castro, M Teresa</creatorcontrib><creatorcontrib>Rodrigo Bartual, Vicenta</creatorcontrib><creatorcontrib>Antón García, Pedro</creatorcontrib><creatorcontrib>Pajares, Fernando Gómez</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Gaceta sanitaria</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aranaz Andrés, Jesús M</au><au>Martínez Nogueras, Rafael</au><au>Gea Velázquez de Castro, M Teresa</au><au>Rodrigo Bartual, Vicenta</au><au>Antón García, Pedro</au><au>Pajares, Fernando Gómez</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Why do patients use hospital emergency services on their own initiative?</atitle><jtitle>Gaceta sanitaria</jtitle><addtitle>Gac Sanit</addtitle><date>2006-07</date><risdate>2006</risdate><volume>20</volume><issue>4</issue><spage>311</spage><epage>315</epage><pages>311-315</pages><issn>0213-9111</issn><abstract>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.</abstract><cop>Spain</cop><pmid>16942719</pmid><tpages>5</tpages></addata></record> |
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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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