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Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care

Author

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  • Daniel Aiham Ghazali

    (Emergency Department, University Hospital of Bichat, 75018 Paris, France
    Study Group for Efficiency and Quality of Emergency Departments and Non-scheduled Activities Departments, 75018 Paris, France
    Simulation Center, University of Paris Diderot, 75018 Paris, France
    INSERM UMR 1137, IAME, University of Paris Diderot, 75018 Paris, France)

  • Arnaud Richard

    (Emergency Department, University Hospital of Bichat, 75018 Paris, France
    Study Group for Efficiency and Quality of Emergency Departments and Non-scheduled Activities Departments, 75018 Paris, France)

  • Arnaud Chaudet

    (Emergency Department, University Hospital of Poitiers, 86000 Poitiers, France)

  • Christophe Choquet

    (Emergency Department, University Hospital of Bichat, 75018 Paris, France
    Study Group for Efficiency and Quality of Emergency Departments and Non-scheduled Activities Departments, 75018 Paris, France)

  • Maximilien Guericolas

    (Emergency Department, University Hospital of Bichat, 75018 Paris, France
    Study Group for Efficiency and Quality of Emergency Departments and Non-scheduled Activities Departments, 75018 Paris, France)

  • Enrique Casalino

    (Emergency Department, University Hospital of Bichat, 75018 Paris, France
    Study Group for Efficiency and Quality of Emergency Departments and Non-scheduled Activities Departments, 75018 Paris, France
    INSERM UMR 1137, IAME, University of Paris Diderot, 75018 Paris, France)

Abstract

Consultations that do not require an emergency department (ED) level of care have increased. We explored attitudes of non-urgent patients in two academic hospitals in France with a similar fast track organization. One of them is a Parisian hospital with 90,000 patients/year who are admitted to the ED, while the other admits 40,000 patients/year in a smaller city. During one month in 2018, the triage nurse handed out a survey to patients coming for non-urgent consultations. It was given back to the fast track physician at the end of the visit; 598 patients agreed to answer. They were mostly young males with adequate social coverage, consulting for osteo-articular pathologies, without any significant difference between the two sites ( p = 0.32). They were equally satisfied with the care they received ( p = 0.38). Satisfaction was inversely correlated to waiting time ( p < 0.0001). Convenience, accessibility of emergency facilities, and geographic proximity were motivation factors. These results suggest that primary care providers who can access testing facilities in accordance with patient needs might be a solution to help reduce overcrowding in EDs.

Suggested Citation

  • Daniel Aiham Ghazali & Arnaud Richard & Arnaud Chaudet & Christophe Choquet & Maximilien Guericolas & Enrique Casalino, 2019. "Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care," IJERPH, MDPI, vol. 16(22), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:22:p:4431-:d:286082
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    References listed on IDEAS

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    1. Van den Heede, Koen & Quentin, Wilm & Dubois, Cécile & Devriese, Stephan & Van de Voorde, Carine, 2017. "The 2016 proposal for the reorganisation of urgent care provision in Belgium: A political struggle to co-locate primary care providers and emergency departments," Health Policy, Elsevier, vol. 121(4), pages 339-345.
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