Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?

Yıl: 2021 Cilt: 20 Sayı: 3 Sayfa Aralığı: 38 - 43 Metin Dili: İngilizce DOI: 10.4274/eajem.galenos.2021.48802 İndeks Tarihi: 02-02-2022

Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?

Öz:
Aim: Patients with non-urgent (NU) issues go to the emergency department (ED) rather than to primary care providers, and this has become a worldwide problem. Thus, this study aimed to determine the characteristics of NU patients and to compare the use of EDs and family physicians (FPs). Materials and Methods: This cross-sectional study was conducted in the ED of a tertiary hospital. A questionnaire was administered to NU (level 5) patients (aged ≥18 years) defined using the five-level triage system. Results: Upper respiratory tract infection symptoms (19.6%) and gastrointestinal system problems (18.6%) were the most common complaints. FP contact was made before the ED visit by 13.3% of the patients. Most of them (79.6%) stated that they were satisfied with their FP and 6.1% never went to the FP. As regards health problems, 39.5% and 29.3% reported that they preferred the FP and ED, respectively. The visiting frequency of ≥3 times per year was 30.1% for the ED and was 42.9% for the FPs. The frequency of ED visits of those who were not satisfied with their FP was significantly higher than those of other participants (p=0.025). A significant relationship was found between the frequency of ED visits and FP visits. Conclusion: Less than half of the patients preferred FPs when they had health problems. Those who visited the ED also frequently visited FPs. Dissatisfaction with the FP is associated with the frequency of visits in the ED.
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  • 1. Tiagi R, Chechulin Y. The effect of rostering with a patient enrolment model on emergency department utilization. Healthc Policy. 2014;9:105-21.
  • 2. Pacheco J, Cuadrado C, Martínez-Gutiérrez MS. Urgent care centres reduce emergency department and primary care same-day visits: a natural experiment. Health Policy Plan. 2019;34:170-7.
  • 3. Seeger I, Kreienmeyer L, Hoffmann F, Freitag MH. Cross-sectional study in an out-of-hours primary care centre in northwestern Germany - patient characteristics and the urgency of their treatment. BMC Fam Pract. 2019;20:41.
  • 4. Khangura JK, Flodgren G, Perera R, Rowe BH, Shepperd S. Primary care professionals providing non-urgent care in hospital emergency departments. Cochrane Database Syst Rev. 2012;11:CD002097.
  • 5. Pines JM, Hilton JA, Weber EJ, Alkemade AJ, Al Shabanah H, Anderson PD, et al. International perspectives on emergency department crowding. Acad Emerg Med. 2011;18:1358-70.
  • 6. Di Somma S, Paladino L, Vaughan L, Lalle I, Magrini L, Magnanti M. Overcrowding in emergency department: an international issue. Intern Emerg Med. 2015;10:171-5.
  • 7. Huang LC, Chung WF, Liu SW, Wu JC, Chen LF, Chen YC. Characteristics of Non-Emergent Visits in Emergency Departments: Profiles and Longitudinal Pattern Changes in Taiwan, 2000-2010. Int J Environ Res Public Health. 2019;16:1999.
  • 8. Uscher-Pines L, Pines J, Kellermann A, Gillen E, Mehrotra A. Emergency department visits for nonurgent conditions: systematic literature review. Am J Manag Care. 2013;19:47-59.
  • 9. Bezzina AJ, Smith PB, Cromwell D, Eagar K. Primary care patients in the emergency department: who are they? A review of the definition of the ‘primary care patient’ in the emergency department. Emerg Med Australas. 2005;17:472-9.
  • 10. Oslislo S, Heintze C, Schmiedhofer M, Möckel M, Schenk L, Holzinger F. How to decide adequately? Qualitative study of GPs’ view on decision-making in self-referred and physician-referred emergency department consultations in Berlin, Germany. BMJ Open. 2019;9:e026786.
  • 11. Miyazawa A, Maeno T, Shaku F, Tsutsumi M, Kurihara H, Takayashiki A, et al. Inappropriate use of the emergency department for nonurgent conditions: Patient characteristics and associated factors at a Japanese hospital. J Gen Fam Med. 2019;20:146-53.
  • 12. Şimşek P, Gürsoy A. Turkish health care providers’ views on inappropriate use of emergency department: Who, when and why? Int Emerg Nurs. 2016;27:31-6.
  • 13. Bektemur G, Osmanbeyoglu N, Cander B. Eurasian Journal of Emergency services report. Eurasian J Emerg Med. 2015;14:1-8.
  • 14. 2017 Yılı Ocak-Ekim Dönemi Acil Servislere İlişkin Veriler: Türkiye Kamu Hastaneleri Genel Müdürlüğü İstatistik, Analiz, Raporlama ve Stratejik Yönetim Dairesi Başkanlığı verileri Aralık 2017 Available at: https:// dosyamerkez.saglik.gov.tr/Eklenti/23496,2017-ocak-ekim-donemi-acilservisverileri2pdf.pdf?0 (Accessed on: 13.12.2019).
  • 15. Al-Otmy SS, Abduljabbar AZ, Al-Raddadi RM, Farahat F. Factors associated with non-urgent visits to the emergency department in a tertiary care centre, western Saudi Arabia: cross-sectional study. BMJ Open. 2020;10:e035951.
  • 16. Akpinar Y, Demirci H, Budak E, Baran AK, Candar A, Ocakoglu G. Why do patients with minor complaints choose emergency departments and does satisfaction with primary care services influence their decisions? Prim Health Care Res Dev. 2018;19:398-406.
  • 17. Idil H, Kilic TY, Toker İ, Dura Turan K, Yesilaras M. Non-urgent adult patients in the emergency department: Causes and patient characteristics. Turk J Emerg Med. 2018;18:71-4.
  • 18. Brekke M, Carelli F, Zarbailov N, Javashvili G, Wilm S, Timonen M, et al. Undergraduate medical education in general practice/family medicine throughout Europe - a descriptive study. BMC Med Educ. 2013;13:157.
  • 19. Sancton K, Sloss L, Berkowitz J, Strydom N, McCracken R. Low-acuity presentations to the emergency department: Reasons for and access to other health care providers before presentation. Can Fam Physician. 2018;64:e354- 60.
  • 20. Unwin M, Kinsman L, Rigby S. Why are we waiting? Patients’ perspectives for accessing emergency department services with non-urgent complaints. Int Emerg Nurs. 2016;29:3-8.
  • 21. Bianco A, Pileggi C, Angelillo IF. Non-urgent visits to a hospital emergency department in Italy. Public Health. 2003;117:250-5.
  • 22. Backman AS, Blomqvist P, Lagerlund M, Carlsson-Holm E, Adami J. Characteristics of non-urgent patients. Cross-sectional study of emergency department and primary care patients. Scand J Prim Health Care. 2008;26:181-7.
  • 23. Atenstaedt R, Gregory J, Price-Jones C, Newman J, Roberts L, Turner J. Why do patients with nonurgent conditions present to the Emergency Department despite the availability of alternative services? Eur J Emerg Med. 2015;22:370- 3.
  • 24. Xin H. Patient Dissatisfaction With Primary Care and Nonurgent Emergency Department Use. J Ambul Care Manage. 2019;42:284-94.
  • 25. Byrne M, Murphy AW, Plunkett PK, McGee HM, Murray A, Bury G. Frequent attenders to an emergency department: a study of primary health care use, medical profile, and psychosocial characteristics. Ann Emerg Med. 2003;41:309-18.
  • 26. Hansagi H, Olsson M, Sjöberg S, Tomson Y, Göransson S. Frequent use of the hospital emergency department is indicative of high use of other health care services. Ann Emerg Med. 2001;37:561-7.
  • 27. Cunningham A, Mautner D, Ku B, Scott K, LaNoue M. Frequent emergency department visitors are frequent primary care visitors and report unmet primary care needs. J Eval Clin Pract. 2017;23:567-73.
  • 28. Oh HC, Chow WL, Gao Y, Tiah L, Goh SH, Mohan T. Factors associated with inappropriate attendances at the emergency department of a tertiary hospital in Singapore. Singapore Med J. 2020;61:5-80.
APA Akbayram H (2021). Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. , 38 - 43. 10.4274/eajem.galenos.2021.48802
Chicago Akbayram Hatice Tuba Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. (2021): 38 - 43. 10.4274/eajem.galenos.2021.48802
MLA Akbayram Hatice Tuba Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. , 2021, ss.38 - 43. 10.4274/eajem.galenos.2021.48802
AMA Akbayram H Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. . 2021; 38 - 43. 10.4274/eajem.galenos.2021.48802
Vancouver Akbayram H Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. . 2021; 38 - 43. 10.4274/eajem.galenos.2021.48802
IEEE Akbayram H "Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?." , ss.38 - 43, 2021. 10.4274/eajem.galenos.2021.48802
ISNAD Akbayram, Hatice Tuba. "Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?". (2021), 38-43. https://doi.org/10.4274/eajem.galenos.2021.48802
APA Akbayram H (2021). Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. Eurasian Journal of Emergency Medicine, 20(3), 38 - 43. 10.4274/eajem.galenos.2021.48802
Chicago Akbayram Hatice Tuba Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. Eurasian Journal of Emergency Medicine 20, no.3 (2021): 38 - 43. 10.4274/eajem.galenos.2021.48802
MLA Akbayram Hatice Tuba Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. Eurasian Journal of Emergency Medicine, vol.20, no.3, 2021, ss.38 - 43. 10.4274/eajem.galenos.2021.48802
AMA Akbayram H Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. Eurasian Journal of Emergency Medicine. 2021; 20(3): 38 - 43. 10.4274/eajem.galenos.2021.48802
Vancouver Akbayram H Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?. Eurasian Journal of Emergency Medicine. 2021; 20(3): 38 - 43. 10.4274/eajem.galenos.2021.48802
IEEE Akbayram H "Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?." Eurasian Journal of Emergency Medicine, 20, ss.38 - 43, 2021. 10.4274/eajem.galenos.2021.48802
ISNAD Akbayram, Hatice Tuba. "Primary Care Patients Who Prefer Emergency Department Instead of Family Physician; How Do They Use Their Family Physician?". Eurasian Journal of Emergency Medicine 20/3 (2021), 38-43. https://doi.org/10.4274/eajem.galenos.2021.48802