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Inappropriate use of emergency services

A systematic review of prevalence and associated factors

Bibliographic Data

ID14618626
AuthorsMaria Laura Vidal Carret (Universidade Federal de Pelotas, Brasil; Universidade Católica de Pelotas, Brasil), Ana Claudia Gastal Fassa (Universidade Federal de Pelotas), Marlos R Domingues (0000-0002-2503-2944, Universidade Federal de Pelotas, Brasil; Universidade do Vale do Rio dos Sinos, Brasil)
Year2009
Volume25
Issue1
Pages7-28
Publication date2009-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0102-311x2009000100002
SCIELO_PIDS0102-311X2009000100002
LanguageEN
Citations received34
References cited41

This systematic review aimed to measure the prevalence of inappropriate emergency department (ED) use by adults and associated factors. The review included 31 articles published in the last 12 years. Prevalence of inappropriate ED use varied from 20 to 40% and was associated with age and income. Female patients, those without co-morbidities, without a regular physician, without a regular source of care, and those not referred to the ED by a physician also showed more inappropriate ED use, with the relative risk varying from 1.12 to 2.42. Difficulties in accessing primary health care (difficulties in setting appointments, longer waiting periods, and short business hours at the primary health care service) were also associated with inappropriate ED use. Thus, primary care requires fully qualified patient reception and efficient triage to promptly attend cases that cannot wait. It is also necessary to orient the population on situations in which they should go to the ED and on the disadvantages of consulting the ED when the case is not really urgent

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Unique citing works34
Citations per year2,27
Citation span2011 - 2025 (15)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 34
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