Primary care and public emergency department overcrowding
Datos Bibliográficos
| ID | 11027423 |
|---|---|
| Autores | Kevin Grumbach (0000-0002-7809-214X, San Francisco General Hospital), Dennis Keane, Andrew B Bindman (0000-0002-6161-0609), A Bindman |
| Año | 1993 |
| Volumen | 83 |
| Número | 3 |
| Páginas | 372-378 |
| Fecha de publicación | 1993-03-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | American Journal of Public Health (JOURNAL) |
| Identificadores de la revista | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Editorial | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.83.3.372 |
| PMID | 8438975 |
| OpenAlex | W2045258872 |
| Idioma | EN |
| Citas recibidas | 52 |
| Referencias citadas | 18 |
OBJECTIVES. Our objective was to evaluate whether referral to primary care settings would be clinically appropriate for and acceptable to patients waiting for emergency department care for nonemergency conditions. METHODS. We studied 700 patients waiting for emergency department care at a public hospital. Access to alternative sources of medical care, clinical appropriateness of emergency department use, and patients' willingness to use nonemergency services were measured and compared between patients with and without a regular source of care. RESULTS. Nearly half (45%) of the patients cited access barriers to primary care as their reason for using the emergency department. Only 13% of the patients waiting for care had conditions that were clinically appropriate for emergency department services. Patients with a regular source of care used the emergency department more appropriately than did patients without a regular source of care. Thirty-eight percent of the patients expressed a willingness to trade their emergency department visit for an appointment with a physician within 3 days. CONCLUSIONS. Public emergency departments could refer large numbers of patients to appointments at primary care facilities. This alternative would be viable only if the availability and coordination of primary care services were enhanced for low-income populations
Emergency department · Family medicine · Medical emergency · Overcrowding · Primary care · Referral · Emergency and Acute Care Studies · Emergency Medicine · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes
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| Obras citantes distintas | 52 |
|---|---|
| Citas por año | 1,58 |
| Intervalo de citas | 1993 - 2022 (30) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 47 |