Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care
Bibliographic Data
| ID | 15480794 |
|---|---|
| Authors | Daniel Aiham Ghazali (0000-0003-0129-4322, Inserm, corresponding author), Arnaud Richard (0000-0002-5310-4036, Emergency Department, University Hospital of Bichat, 75018 Paris, France), Arnaud Chaudet (Université de Poitiers), Christophe Choquet (Emergency Department, University Hospital of Bichat, 75018 Paris, France), Maximilien Guericolas (Emergency Department, University Hospital of Bichat, 75018 Paris, France), Enrique Casalino (0000-0002-4352-6729, Inserm) |
| Year | 2019 |
| Volume | 16 |
| Issue | 22 |
| Pages | 4431-4431 |
| Publication date | 2019-11-12 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph16224431 |
| PMID | 31726697 |
| OpenAlex | W2985780376 |
| Language | EN |
| References cited | 25 |
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
Emergency department · Family medicine · Fast track · Medical emergency · Overcrowding · Patient care · Patient satisfaction · Triage · Emergency and Acute Care Studies · Interpreting and Communication in Healthcare · Medicine · Nursing · Patient Satisfaction in Healthcare · Emergency Medicine
| Highly cited | No |
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