| Autor: |
Yaprak, Seval, Bulut, Ulku, Okudan, Yunus Emre, Gokdemir, Ozden, Colak, Muhteber, Yıldırım, Ediz, Guldal, Dilek |
| Předmět: |
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| Zdroj: |
Pediatrics International; Oct2016, Vol. 58 Issue 10, p1037-1041, 5p |
| Abstrakt: |
Background In Turkey, a mandatory referral system is not used. Caregivers, for their children, present directly to health-care providers at all levels. This allows patients to present directly to university hospitals. In this study, reasons for university hospital-treatment seeking by caregivers for child health problems is discussed. Methods This was a cross-sectional descriptive study at Dokuz Eylul University Faculty of Medicine, Izmir, Turkey, of 235 caregivers whose children were admitted to the outpatient clinic of the General Pediatrics Department between 4 and 11 April 2013. They completed a questionnaire on demographic data and reasons for presentation to the university hospital. Mann-Whitney U-test was used to compare group means, and Pearson chi-squared test for ratios between groups. P <0.05 was considered to be statistically significant. Results A total of 54.5% of participants lived far from the hospital. The most frequent complaints involved the respiratory tract, among which the most frequent complaint was cough. Time from symptom onset to presentation was ≥7 days in 58.3% of patients, and 48.9% had never presented to another institution. The most common reason for choosing the university hospital was the availability of the necessary tests (88.1%). Conclusions Despite common use of primary health-care systems, with regard to tertiary hospital presentation, the most important factors for preferring tertiary hospital presentation were caregiver trust in tertiary hospital resources for diagnosis and treatment. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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