Utilization of emergency department in patients with non-urgent medical problems: Patient preference and emergency department convenience

Journal of the Formosan Medical Association

Volumn 109, Issue 7, 2010, Pages 533-542

  Tsai, Jeffrey Che Hung ^a,b   Liang, Yia Wun ^c   Pearson, William S ^d  

^a CHENG CHING GENERAL HOSPITAL   (Taiwan)

^b NATIONAL YANG MING UNIVERSITY   (Taiwan)

^c National Taichung Nursing College   (Taiwan)

^d NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION   (United States)

Author keywords

Convenience; Emergency department; Non urgent cases; Patient preference

Indexed keywords

ADULT; ARTICLE; CHRONIC DISEASE; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HEALTH CARE ACCESS; HOSPITAL ADMISSION; HUMAN; INJURY; MAJOR CLINICAL STUDY; MALE; MARRIAGE; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; OCCUPATION; PATIENT ASSESSMENT; PRIMARY MEDICAL CARE; ADOLESCENT; AGED; HEALTH CARE DELIVERY; HEALTH CARE SURVEY; HEALTH SERVICE; LENGTH OF STAY; MIDDLE AGED; PATIENT ATTITUDE; PRIMARY HEALTH CARE; SOCIOECONOMICS; STATISTICAL MODEL; STATISTICS; TAIWAN; TIME; UTILIZATION REVIEW;

ADOLESCENT; ADULT; AGED; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; LENGTH OF STAY; LOGISTIC MODELS; MALE; MIDDLE AGED; PATIENT ACCEPTANCE OF HEALTH CARE; PATIENT ADMISSION; PRIMARY HEALTH CARE; SOCIOECONOMIC FACTORS; TAIWAN; TIME FACTORS; TRIAGE; YOUNG ADULT;

EID: 77955495757     PISSN: None     EISSN: 09296646     Source Type: Journal    
DOI: 10.1016/S0929-6646(10)60088-5     Document Type: Article

References (27)

1. Gill JM Nonurgent use of the emergency department: appropriate or not?. Ann Emerg Med 1994, 24:953-957.
2. Meggs WJ, Czaplijski T, Benson N Trends in emergency department utilization, 1988-1997. Acad Emerg Med 1999, 6:1030-1035.
3. Liu T, Sayre MR, Carleton SC Emergency medical care: types, trends, and factors related to nonurgent visits. Acad Emerg Med 1999, 6:1147-1152.
4. Gill JM Use of hospital emergency departments for nonurgent care: a persistent problem with no easy solutions. Am J Manag Care 1999, 5:1565-1568.
5. Shesser R, Kirsch T, Smith J, et al. An analysis of emergency department use by patients with minor illness. Ann Emerg Med 1991, 20:743-748.
6. Sarver JH, Cydulka RK, Baker DW Usual source of care and nonurgent emergency department use. Acad Emerg Med 2002, 9:916-923.
7. Institute of Medicine, Committee on the Consequence of Uninsurance Care Without Coverage: Too Little, Too Late 2002, National Academies Press, Washington DC.
8. Access of Medicaid recipients to outpatient care. N Engl J Med 1994, 330:1426-1430.
9. Institute of Medicine, Committee on Understanding and Eliminating Racialand Ethnic Disparities in Health Care Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care 2002, National Academies Press, Washington DC.
10. Glauser J Rationing and the role of the emergency department as society's safety net. Acad Emerg Med 2001, 8:1101-1106.
11. Richardson LD, Hwang U Access to care: a review of the emergency medicine literature. Acad Emerg Med 2001, 8:1030-1036.
12. Howard MS, Davis BA, Anderson C, et al. Patients' perspective on choosing the emergency department for nonurgent medical care: a qualitative study exploring one reason for overcrowding. J Emerg Nurs 2005, 31:429-435.
13. Gill JM, Riley AW Nonurgent use of hospital emergency departments: urgency from the patient's perspective. J Fam Pract 1996, 42:491-496.
14. Phelps K, Taylor C, Kimmel S, et al. Factors associated with emergency department utilization for nonurgent pediatric problems. Arch Fam Med 2000, 9:1086-1092.
15. Koziol-McLain J, Price DW, Weiss B, et al. Seeking care for nonurgent medical conditions in the emergency department: through the eyes of the patient. J Emerg Nurs 2000, 26:554-563.
16. Beveridge R, Clarke B, Janes L, et al. Canadian Emergency Department Triage and Acuity Scale: implementation guidelines. CJEM 1999, 1(Suppl 3):1-24.
17. Weiss SJ, Derlet R, Arndahl J, et al. Estimating the degree of emergency department overcrowding in academic medical centers: results of the National ED Overcrowding Study (NEDOCS). Acad Emerg Med 2004, 11:38-50.
18. Weber EJ, Showstack JA, Hunt KA, et al. Does lack of usual source of care or health insurance increase the likelihood of an emergency department visit? Results of a national population-based study. Ann Emerg Med 2005, 45:4-12.
19. Afilalo J, Marinovich A, Afilalo M, et al. Nonurgent emergency department patient characteristics and barriers to primary care. Acad Emerg Med 2004, 11:1302-1310.
20. Guttman N, Zimmerman DR, Nelson MS The many faces of access: reasons for medically non-urgent emergency department visits. J Health Polit Policy Law 2003, 28:1089-1120.
21. Burnett MG, Grover SA Use of the emergency department for nonurgent care during regular business hours. CMAJ 1996, 154:1345-1351.
22. Tsai JCH, Liang YW, Yen DHT Dynamic color labeling of level of acuity decreases waiting in the Emergency Department. J Taiwan Emerg Med 2008, 10:31-38.
23. Vertesi L Does the Canadian Emergency Department Triage and Acuity Scale identify non-urgent patients who can be triage away from the emergency department?. CJEM 2004, 6:337-342.
24. Schull MJ Rising utilization of US emergency departments: maybe it is time to stop blaming the patients. Ann Emerg Med 2005, 45:13-14.
25. Chi CH, Yen YL, Chen Y, et al. Regional survey of triage criteria for nursing staff in the ED. J Taiwan Emerg Med 2005, 198-208.
26. Beveridge R, Ducharme J, Janes L, et al. Reliability of the Canadian emergency department triage and acuity scale: interrater agreement. Ann Emerg Med 1999, 34:155-159.
27. Chen LC. Development and clinical application assessment of the Chinese version of five-level computer triage system in the Emergency Department. Graduate Institute of Nursing, Taipei Medical University, 2006. [Dissertation].