Use and misuse of an accident and emergency department in the East End of London.

Autor: Davison, Anthony G., Hildrey, A. C. C., Floyer, M. A.
Předmět:
Zdroj: Journal of the Royal Society of Medicine; Jan1983, Vol. 76 Issue 1, p37-40, 4p, 3 Charts
Abstrakt: A study was made of all 587 new patients attending an accident and emergency department in the East End of London during one week. Two hundred and twenty-six (39%) cases were not accidents or emergencies; of these, 67% were self-referrals who had not previously seen their general practitioner (GP) and 21% were self-referrals who had previously seen their GP. The four main reasons that these self-referred patients had for attending were that they thought their condition needed immediate attention; they were insufficiently organized to see their GP; they were not registered with a GP; or they wanted a second opinion. Twenty-eight (12%) of the cases which were not accidents or emergencies were referred by a GP. Sixty-nine (12%) of all cases were not registered with a GP. The frequency of cases who were not accidents or emergencies was significantly higher in those not registered than in those registered (0.01 > P >0.001). Nineteen (3%) patients were living rough or in hostels. Little abuse of the ambulance service was found. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index