ONE STOP: EXAMINING THE REASONS PATIENTS USE THE EMERGENCY DEPARTMENT FOR NONURGENT CARE AND THE BARRIERS THEY FACE
ONE STOP: EXAMINING THE REASONS PATIENTS USE THE EMERGENCY DEPARTMENT FOR NONURGENT CARE AND THE BARRIERS THEY FACE
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DOI：
10.1016/j.jen.2019.08.007
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发表时间：
2020-03-01
影响因子：
1.7
通讯作者：
El-Masri, Maher M.
中科院分区：
文献类型：
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作者：
Bornais, Judy A. K.;Crawley, Jamie;El-Masri, Maher M.
导言：尽管有太多关于急诊科服务用于非紧急初级卫生保健的研究，但这些研究的绝大多数都是定量的。到目前为止，很少有研究从患者的角度和/或生活经历来报道这个问题，这损害了卫生保健提供者对患者所描述的问题本质的理解。因此，本研究将从患者的角度对非紧急急诊进行定性描述。具体地说，这项研究回答了以下研究问题：1)患者和/或护理人员因非紧急健康状况去急诊科就诊的原因是什么？2)患者和/或照顾者在寻求医疗服务时遇到的障碍是什么？方法：采用定性描述设计，对4个急诊科的33名同意参与者进行面对面访谈。所有受访患者都被急诊科人员分类为非急诊患者。结果：从使用急诊科的原因的数据中可以看出三个主题：1)从业者转诊；2)护理的有效性；3)节省时间。当描述参与者在急诊科外就诊时遇到的障碍时，出现了三个主题：缺乏初级保健提供者，经济困难，以及急诊科外缺乏全面的护理。讨论：研究结果有助于为以患者为中心的护理和未来的政策倡议提供信息，以解决导致非紧急急诊科就诊的做法和障碍。
Introduction: Despite the plethora of research on the use of emergency department services for nonurgent primary health care, the vast majority of this research is quantitative in nature. To date, there is little research that reports on the problem from the patients' perspective and/or lived experience, which compromises health care providers' understanding of the essence of the problem as described by the patients. Thus, this study will provide a qualitative description of nonurgent ED visits from the patients' perspective. Specifically, this study answers the following research questions: 1) What are the reasons for patients and/or caregivers visiting the emergency department for nonurgent health conditions? and 2) What are the barriers experienced by patients and/or caregivers when seeking access to health care?Methods: A qualitative descriptive design with face-to-face interviews of 33 consenting participants was conducted at 4 emergency departments. All interviewed participants were triaged as nonurgent patients by the ED personnel.Results: Three themes surfaced from the data regarding reasons for using the emergency department: 1) Practitioner referral; 2) Efficacy of care; and 3) Time saver. When describing barriers that participants experienced when seeking care outside of the emergency department for their nonurgent conditions, 3 themes that emerged are lack of primary care provider, financial difficulties, and lack of comprehensive care outside the emergency department.Discussion: The results of the study can help inform patient-centered care and future policy initiatives that will address the practices and barriers contributing to nonurgent ED visits.