非紧急情况下儿童前往急诊科就诊：家长的行为、期望及结果。
Non-urgent presentations to a paediatric emergency department: parental behaviours, expectations and outcomes.
作者信息
Ryan Mary, Spicer Maureen, Hyett Carlie, Barnett Peter
机构信息
Department of Emergency Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia.
出版信息
Emerg Med Australas. 2005 Oct-Dec;17(5-6):457-62. doi: 10.1111/j.1742-6723.2005.00777.x.
OBJECTIVES
To identify factors that influence the attendance of children with non-urgent medical problems to a tertiary paediatric ED and to define parental expectations of the hospital visit.
METHODS
A questionnaire administered to a convenience sample of 200 parents/carers who attended the paediatric ED and whose children were categorized as having non-urgent problems that had been present for at least 4 weeks. Subsequent outpatient attendances were then analysed retrospectively.
RESULTS
Most patients had visited a general practitioner but remained unhappy with the outcome of the consultation. The hospital was expected to provide immediate diagnosis and initiate appropriate treatment by the vast majority of parent. Only four patients required admission.
CONCLUSIONS
The expectations of parents who attend the paediatric ED with children who have non-urgent chronic complaints are high. Rapid access to outpatient clinics might provide an acceptable alternative for these patients, and free valuable ED resources.
目的
确定影响患有非紧急医疗问题的儿童前往三级儿科急诊科就诊的因素，并明确家长对此次医院就诊的期望。
方法
对200名前往儿科急诊科就诊的家长/照顾者进行便利抽样问卷调查，这些儿童被归类为患有已存在至少4周的非紧急问题。随后对其后续门诊就诊情况进行回顾性分析。
结果
大多数患者曾看过全科医生，但对会诊结果仍不满意。绝大多数家长期望医院能立即做出诊断并开始适当治疗。只有4名患者需要住院治疗。
结论
带着患有非紧急慢性疾病的孩子前往儿科急诊科就诊的家长期望很高。为这些患者提供快速门诊就诊途径可能是一个可接受的替代方案，还能节省宝贵的急诊科资源。
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