Cooper Carolyn, Simpson Judy M, Hanson Ralph
Fairfield Health Service, Fairfield, Department of Public Health and Community Medicine, University of Sydney, Sydney, Australia.
Emerg Med (Fremantle). 2003 Feb;15(1):68-76. doi: 10.1046/j.1442-2026.2003.00411.x.
To identify parental reasons for presenting their child to the emergency department and their expectations of the consultation.
Cross-sectional survey of parents of children and adolescents aged 14 years and under who presented to the Fairfield Emergency Department over a 2-month period.
A questionnaire was returned from 694 of 839 eligible presentations (83%), with 51% having an urgent triage and 26% being admitted. Proximity was nominated as the reason for choosing the Fairfield Emergency Department by 48%, 62% of presentations were self-referred and 44% had already seen another doctor. An urgent triage was associated with parental expectation of admission or observation in the emergency department (OR 2.79 [95% CI: 1.98-3.94]).
The majority of presentations to the district emergency department are self-referred and it is chosen because of proximity. The majority of children do not require admission; however, parents often have expectations that observation and further investigation will occur prior to discharge from the emergency department.
确定家长带孩子前往急诊科的原因以及他们对会诊的期望。
对在两个月内前往费尔菲尔德急诊科的14岁及以下儿童和青少年的家长进行横断面调查。
839例符合条件的就诊病例中有694例（83%）返回了问卷，其中51%进行了紧急分诊，26%被收治。48%的家长提名距离近作为选择费尔菲尔德急诊科的原因，62%的就诊是自行前往，44%的患儿之前已看过其他医生。紧急分诊与家长期望患儿在急诊科住院或观察相关（比值比2.79 [95%可信区间：1.98 - 3.94]）。
大多数到地区急诊科就诊的病例是自行前往，选择该急诊科是因为距离近。大多数儿童不需要住院；然而，家长通常期望在患儿从急诊科出院前能进行观察和进一步检查。
