Dominik Pförringer1, Patrick Pflüger2, Lilia Waehlert3, Andreas Beivers4, Fritz Seidl2, Dominik Duscher5, Andreas Obermeier6, Karl-Georg Kanz2, Karl-Friedrich Braun2, Günther Edenharter7. 1. Klinikum Rechts Der Isar, Klinik Und Poliklinik für Unfallchirurgie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany. Dominik.Pfoerringer@mri.tum.de. 2. Klinikum Rechts Der Isar, Klinik Und Poliklinik für Unfallchirurgie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany. 3. Hochschule Fresenius, Limburger Straße 2, 65510, Idstein, Germany. 4. Hochschule Fresenius, Infanteriestraße 11a, 80797, Munich, Germany. 5. Klinikum Rechts Der Isar, Klinik für Plastische Chirurgie Und Handchirurgie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany. 6. Klinikum Rechts Der Isar, Klinik für Orthopädie Und Sportorthopädie, Technische Universität München, Ismaninger Str. 22, 81675, Munich, Germany. 7. Klinikum Rechts Der Isar, Technische Universität München, Klinik für Anästhesiologie und operative Intensivmedizin, Ismaninger Str. 22, 81675, Munich, Germany.
Abstract
BACKGROUND: The importance of emergency rooms (ERs) as everyday healthcare suppliers is growing. Due to increasing patient flows, hospitals are forced to raise physicians' and caregivers' headcount continuously to meet the new demand of patients seeing the ER as primary point of contact in non-emergency situations. Patients from various cultural and educational backgrounds approach the ER for different reasons. Detailed understanding of these reasons and their roots is key to be able to offer guidance for patients as well as planning and staffing of hospitals in the future. AIM: This study examines motivation for the entrance to the medical system via the ER in Germany via an anonymized patient survey. Evaluation in regard to socioeconomic and medical reasons is taken into account. MATERIALS AND METHODS: Over the course of 210 h in the ER, a total of 235 patients were interviewed in the surgical emergency room of Klinikum rechts der Isar in the year 2016. Focus was set on standard cases to allow for facilitated comparability. Heavily injured patients were excluded from the study. RESULTS: The main reasons for patients entering the ER were immediate help (45.9%) and treatment by a specialist (35.4%). Furthermore, the location/good accessibility (47.9%) and prior positive experience with the emergency room (20.7%) were decisive reasons for choosing the hospital over the outpatient sector. Analysis of demands of patients in relation to their migration background and their religious confession showed no significant difference between groups. CONCLUSION: Younger patients tend to more often access the ER instead of an outpatient clinic or doctor in private practice. As a survey suits the less urgent patients, our research describes this population in detail. The need for better information of patients regarding treatment options becomes apparent. The study's outcomes aim to teach physicians as well as operators how to influence resource management in the healthcare system by meaningful information of patients. Further research may evaluate long-term results of information measures.
BACKGROUND: The importance of emergency rooms (ERs) as everyday healthcare suppliers is growing. Due to increasing patient flows, hospitals are forced to raise physicians' and caregivers' headcount continuously to meet the new demand of patients seeing the ER as primary point of contact in non-emergency situations. Patients from various cultural and educational backgrounds approach the ER for different reasons. Detailed understanding of these reasons and their roots is key to be able to offer guidance for patients as well as planning and staffing of hospitals in the future. AIM: This study examines motivation for the entrance to the medical system via the ER in Germany via an anonymized patient survey. Evaluation in regard to socioeconomic and medical reasons is taken into account. MATERIALS AND METHODS: Over the course of 210 h in the ER, a total of 235 patients were interviewed in the surgical emergency room of Klinikum rechts der Isar in the year 2016. Focus was set on standard cases to allow for facilitated comparability. Heavily injured patients were excluded from the study. RESULTS: The main reasons for patients entering the ER were immediate help (45.9%) and treatment by a specialist (35.4%). Furthermore, the location/good accessibility (47.9%) and prior positive experience with the emergency room (20.7%) were decisive reasons for choosing the hospital over the outpatient sector. Analysis of demands of patients in relation to their migration background and their religious confession showed no significant difference between groups. CONCLUSION: Younger patients tend to more often access the ER instead of an outpatient clinic or doctor in private practice. As a survey suits the less urgent patients, our research describes this population in detail. The need for better information of patients regarding treatment options becomes apparent. The study's outcomes aim to teach physicians as well as operators how to influence resource management in the healthcare system by meaningful information of patients. Further research may evaluate long-term results of information measures.