Exploring parents' reasons for attending the emergency department for children with minor illnesses: a mixed methods systematic review
Exploring parents' reasons for attending the emergency department for children with minor illnesses: a mixed methods systematic review
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DOI：
10.1136/emermed-2017-207118
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发表时间：
2019-01-01
影响因子：
3.1
通讯作者：
McGaughey, Jennifer
中科院分区：
文献类型：
--
作者：
Butun, Ahmet;Linden, Mark;McGaughey, Jennifer
背景 急诊科就诊的数量不断增加，急诊科面临的压力受到全世界的广泛关注。患有轻症的儿童的家长使用急诊室是一个重要且尚未解决的问题，给医疗服务造成了负担。本研究的目的是回顾文献，总结家长因患有轻症而去急诊室的原因。 方法 在 2016 年 8 月的两周内对七个电子数据库（Medline、Embase、PsycINFO、CINAHL、PubMed、Web of Science 和 Scopus）进行了全面检索，并于 2018 年 6 月 11 日至 20 日之间进行了更新。研究选择过程由两位作者独立进行。其中包括关注轻症儿童家长去急诊室就诊的原因的定性和定量研究。对研究进行质量评估，并通过叙述综合的方式对数据进行分析。结果 纳入 24 项研究。十一项研究采用定量方法，十一项研究采用定性方法，两项研究采用混合方法。家长使用急诊室的原因包括感知的紧迫性、急诊室的优势（例如，更快的服务、优质的急诊室资源和效率）、难以获得全科医生预约、缺乏初级医疗保健服务设施、缺乏健康保险、安心、便利和可及性。结论本次审查确定了家长因小病而将孩子带到急诊室的一些原因，强调了这个问题的多方面性质。了解家长选择使用急诊室的原因可能有助于我们更好地设计有针对性的干预措施，以减少不必要的急诊就诊并减轻过度紧张的医疗服务的负担。这项审查可能有助于告知紧急护理政策制定者、研究人员和医疗保健人员，以了解家长访问急诊室的原因，以更好地满足他们的医疗保健需求。
Background The number of EDs visit is on the increase, and the pressure on EDs is of significant concern worldwide. The usage of EDs by parents of children with minor illness is an important and still unresolved problem causing a burden to healthcare services. The aim of this study was to review the literature to summarise parental reasons for visiting ED for children with minor illness.Method Seven electronic databases (Medline, Embase, PsycINFO, CINAHL, PubMed, Web of Science and Scopus) were comprehensively searched during a 2-week period in August 2016 and updated between 11 and 20 June 2018. The study selection process was undertaken independently by two authors. Qualitative and quantitative studies that focused on the reasons for parents of children with minor illness to attend an ED were included. Studies were assessed for quality and data were analysed by means of narrative synthesis.Results Twenty-four studies were included. Eleven studies employed quantitative methods, eleven studies used qualitative methods and two studies used mixed methods. Parental reasons for using ED included perceived urgency, ED advantages (eg, faster service, superior ED resources and efficiency), difficulties with getting a general practitioner appointment, lack of facilities in primary healthcare services, lack of health insurance, reassurance, convenience and access.Conclusion This review identified some of the reasons why parents bring their children to the ED for minor illnesses highlighting the multifaceted nature of this problem. Understanding parental reasons behind their choice to use the ED may help us better design targeted interventions to reduce unnecessary ED visits and alleviate the burden on overstretched healthcare services. This review may help inform emergency care policy makers, researchers and healthcare staff to understand parents' reasons for visiting the ED, to better meet their healthcare needs.