PATIENT AND PROVIDER PERCEPTIONS OF WHY PATIENTS SEEK CARE IN EMERGENCY DEPARTMENTS
PATIENT AND PROVIDER PERCEPTIONS OF WHY PATIENTS SEEK CARE IN EMERGENCY DEPARTMENTS
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DOI：
10.1016/j.jemermed.2013.04.063
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发表时间：
2014-01-01
影响因子：
1.5
通讯作者：
Nagurney, John T.
中科院分区：
文献类型：
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作者：
Lobachova, Lana;Brown, David F. M.;Nagurney, John T.
背景：关于患者为什么选择急诊科（ED）接受护理，人们知之甚少。目的：我们的目的是测量的分布和频率的陈述的原因，为什么患者选择艾德的护理和初级保健医生（PCP）认为他们的患者利用ED. Methods：作者进行了一项调查，患者提出的艾德与92,000年的访问。采用适当的参数检验进行单变量和多变量分析，结果以频率和95%置信区间表示。作者还通过基于网络的调查对PCP进行了横断面调查。结果：在1515例患者中，1083例（71%）同意参与，其中1062例（98%）完成了调查。患者来艾德就诊的最常见原因是他们认为自己的问题很严重（61%），其次是转诊（35%）。此外，48%的人是在提供者，家庭成员或朋友的建议下进行的。通过自我报告，354例（33%）患者尝试达到其PCP，其中306例（86%）成功。还调查了275名PCP。PCP认为他们的病人来艾德最常见的原因是病人选择自己去（80%），病人觉得他们病得太重，不能去PCP的办公室（80%）。结论：大多数患者表示，在艾德寻求护理的最常见的原因是，他们认为他们的问题是严重的。几乎一半的人根据家庭成员、朋友或医疗保健提供者的建议寻求艾德护理，相当一部分人实际上是由医疗保健提供者转介的。PCP同意，大多数病人来急诊室是因为他们认为自己病得太重，不能在办公室看到，或者在办公时间后生病。(C)2014爱思唯尔公司
Background: Little is known about why patients choose emergency departments (EDs) to receive care. Objective: Our aim was to measure the distribution and frequency of the stated reasons why patients choose the ED for care and why primary care physicians (PCPs) think their patients utilize the ED. Methods: The authors conducted a survey of patients presenting to an ED with 92,000 annual visits. Appropriate parametric tests were used for univariate and multivariate analysis and results were presented as frequencies with 95% confidence intervals. The authors also performed a cross-sectional survey of PCPs through a web-based survey. Results: Of the 1515 patients approached, 1083 (71%) agreed to participate and 1062 (98%) of them completed the survey. The most common reason patients gave for coming to the ED was their belief that their problem was serious (61%), followed by being referred (35%). In addition, 48% came at the advice of a provider, family member, or friend. By self-report, 354 (33%) patients attempted to reach their PCPs and 306 (86%) of them were successful. Two hundred and seventy-five PCPs were also surveyed. The most frequent reasons PCPs thought their patients came to an ED were that the patient chose to go on their own (80%) and the patients felt that they were too sick to be seen in the PCP's office (80%). Conclusions: The majority of patients stated that the most common reason for seeking care in an ED was that they thought their problem was serious. Almost half sought ED care on the advice of a family member, friend, or health care provider, and a sizable minority were actually referred in by a health care provider. PCPs agree that most patients come to EDs because they believe they are too sick to be seen in their office or become sick after office hours. (C) 2014 Elsevier Inc.