Use and Misuse of an Accident and Emergency Department in the East End of London
Autor: | Anthony G Davison, M A Floyer, A C C Hildrey |
---|---|
Rok vydání: | 1983 |
Předmět: |
medicine.medical_specialty
business.industry Second opinion Accident and emergency MEDLINE Human factors and ergonomics Poison control General Medicine medicine.disease Suicide prevention Occupational safety and health 030227 psychiatry 03 medical and health sciences 0302 clinical medicine Emergency medicine Injury prevention medicine 030212 general & internal medicine Medical emergency business |
Zdroj: | Journal of the Royal Society of Medicine. 76:37-40 |
ISSN: | 1758-1095 0141-0768 |
DOI: | 10.1177/014107688307600109 |
Popis: | 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. |
Databáze: | OpenAIRE |
Externí odkaz: |