Exploring factors that influence adult presentation to an emergency department in regional Queensland: A linked, cross-sectional, patient perspective study

Emergency Medicine Australasia : EMA
Mary O'LoughlinJane Mills

Abstract

Explore factors that influence presentation at a regional hospital ED and identify opportunities to reduce attendance, particularly for adults with chronic conditions. Cross-sectional survey of ED attenders, for 1 month period (March to April 2014), with linkage of survey data to administrative data sets. A total of 1000 adults completed the survey of which 549 (54.9%) self-identified as living with a chronic condition. Over half (n = 572, 57.2%) had their presenting problem for less than 24 h prior to attending the ED and 56.8% (n = 568) attended the ED outside working hours. Most ED presentations were recorded in the administrative data set as self-referred (n = 933, 93.3%); however, 29% (n = 290) of survey participants reported being referred to the ED by a medical practitioner. The majority of adults had a regular general practice (n = 863, 86.3%) with 30% (n = 258) visiting their practice in the week prior to presentation at the ED. Awareness of services such as the 13-Health telephone advice line was generally low (n = 370, 37%) and most did not consider alternative health services as suitable for their care. High-quality care, co-location of diagnostic services and extended hours of service were important to patients. De...Continue Reading

References

Oct 22, 2010·Emergency Medicine Journal : EMJ·Judy A LowthianJohn J McNeil
Apr 11, 2012·Emergency Medicine Australasia : EMA·Yusuf NagreeDavid Mountain
Aug 14, 2012·Social Science & Medicine·Nabanita Datta Gupta, Hendrik Jürges
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Sep 7, 2016·The Australian Journal of Rural Health·Linton R HarrissRobyn McDermott
May 16, 2017·Australian Journal of Primary Health·Emily CallanderLisa Corscadden

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Citations

Nov 12, 2019·The Medical Journal of Australia·Mary O'LoughlinRobyn McDermott
Oct 31, 2020·Australian Health Review : a Publication of the Australian Hospital Association·Mary O LoughlinLinton R Harriss

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