Literature DB >> 16198724

Patients' perspective on choosing the emergency department for nonurgent medical care: a qualitative study exploring one reason for overcrowding.

Matthew S Howard1, Barbara A Davis, Crystal Anderson, Diane Cherry, Patricia Koller, Derek Shelton.   

Abstract

INTRODUCTION: For decades it has been known that patients use emergency departments for nonurgent care needs. This study was conducted to help determine how the health care community can assist patients achieve consistent health care while meeting the patient's perceived needs.
METHOD: A descriptive qualitative study was conducted based on interviews with 31 persons between 22 and 43 years of age following an ED visit for a nonurgent medical need. Exploration of the patient's perception was accomplished through open-ended questions in a structured interview format. Data were analyzed using content analysis.
RESULTS: Patients who participated in our study revealed 3 major themes: (1) They were unable to obtain an appointment with a primary care provider (PCP); (2) they were referred by the staff (not the doctor) in PCPs' offices to be evaluated in the emergency department; and (3) it took less of their time to be seen in the emergency department than it did to contact their PCP, only to then be told to go to the emergency department. DISCUSSION: The findings of this study support the need for health care providers to find ways to provide nonurgent care in a timely and efficient manner. Multiple options for providing this care need to be conceived and evaluated.

Entities:  

Mesh:

Year:  2005        PMID: 16198724     DOI: 10.1016/j.jen.2005.06.023

Source DB:  PubMed          Journal:  J Emerg Nurs        ISSN: 0099-1767            Impact factor:   1.836


  27 in total

1.  Reasons Patients Choose the Emergency Department over Primary Care: a Qualitative Metasynthesis.

Authors:  Jody A Vogel; Kristin L Rising; Jacqueline Jones; Marjorie L Bowden; Adit A Ginde; Edward P Havranek
Journal:  J Gen Intern Med       Date:  2019-08-19       Impact factor: 5.128

2.  Factors Affecting Visits to the Emergency Department for Urgent and Nonurgent Ocular Conditions.

Authors:  Brian C Stagg; Muazzum M Shah; Nidhi Talwar; Dolly A Padovani-Claudio; Maria A Woodward; Joshua D Stein
Journal:  Ophthalmology       Date:  2017-01-31       Impact factor: 12.079

3.  Comparing Emergency Department Use Among Medicaid and Commercial Patients Using All-Payer All-Claims Data.

Authors:  Hyunjee Kim; K John McConnell; Benjamin C Sun
Journal:  Popul Health Manag       Date:  2017-01-11       Impact factor: 2.459

4.  Health care utilization before and after an outpatient ED visit in older people.

Authors:  Carolyn Horney; Kenneth Schmader; Linda L Sanders; Mitchell Heflin; Luna Ragsdale; Eleanor McConnell; Michael Hocker; S Nicole Hastings
Journal:  Am J Emerg Med       Date:  2011-01-08       Impact factor: 2.469

5.  Access to Federally Qualified Health Centers and Emergency Department Use Among Uninsured and Medicaid-insured Adults: California, 2005 to 2013.

Authors:  Julia B Nath; Shaughnessy Costigan; Feng Lin; Eric Vittinghoff; Renee Y Hsia
Journal:  Acad Emerg Med       Date:  2019-01-16       Impact factor: 3.451

6.  Demographic and treatment patterns for infections in ambulatory settings in the United States, 2006-2010.

Authors:  Larissa May; Peter Mullins; Jesse Pines
Journal:  Acad Emerg Med       Date:  2014-01       Impact factor: 3.451

7.  Patient related factors in frequent readmissions: the influence of condition, access to services and patient choice.

Authors:  Sue E Kirby; Sarah M Dennis; Upali W Jayasinghe; Mark F Harris
Journal:  BMC Health Serv Res       Date:  2010-07-21       Impact factor: 2.655

8.  Time series modelling and forecasting of emergency department overcrowding.

Authors:  Farid Kadri; Fouzi Harrou; Sondès Chaabane; Christian Tahon
Journal:  J Med Syst       Date:  2014-07-23       Impact factor: 4.460

Review 9.  Demand for hospital emergency departments: a conceptual understanding.

Authors:  Jun He; Xiang-Yu Hou; Sam Toloo; Jennifer R Patrick; Gerry Fitz Gerald
Journal:  World J Emerg Med       Date:  2011

Review 10.  Systematic review of emergency department crowding: causes, effects, and solutions.

Authors:  Nathan R Hoot; Dominik Aronsky
Journal:  Ann Emerg Med       Date:  2008-04-23       Impact factor: 5.721

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