[患者为何主动使用医院急诊服务？]
[Why do patients use hospital emergency services on their own initiative?].
作者信息
Aranaz Andrés Jesús M, Martínez Nogueras Rafael, Gea Velázquez de Castro M Teresa, Rodrigo Bartual Vicenta, Antón García Pedro, Pajares Fernando Gómez
机构信息
Servicio de Medicina Preventiva, Hospital Universitari Sant Joan d'Alacant, Alicante, España.
出版信息
Gac Sanit. 2006 Jul-Aug;20(4):311-5. doi: 10.1157/13091147.
INTRODUCTION
The aim of this study was to determine the reasons why patients use hospital emergency services (HES) on their own initiative and the characteristics of these users.
METHOD
An ad hoc questionnaire was designed and applied by consecutive selection to patients who could have waited for medical care (level 1 triage) over a 1-week period in November 2002.
RESULTS
A total of 348 patients completed the questionnaire; 82.5% attended on their own initiative; of these, 17.7% reported they did not know how Primary Care worked in relation to the Emergency Services; 18.8% consulted a Primary Care physician; 55.0% preferred the HES and 13.5% attended because of a delay in another health care setting. Half the patients (50.5%) were younger than 40 years old and 9.2% were foreigners.
CONCLUSIONS
Changes in health services' consumption patterns could jeopardize the public health system unless supply is adapted to the demand expressed and/or interventions are performed to educate the public in rational health services' consumption.
引言
本研究旨在确定患者主动使用医院急诊服务（HES）的原因以及这些使用者的特征。
方法
设计了一份专门问卷，并于2002年11月连续选取可能等待医疗护理（一级分诊）的患者，在为期1周的时间内进行调查。
结果
共有348名患者完成问卷；82.5%为主动前来；其中，17.7%表示他们不知道初级保健与急诊服务的关系；18.8%咨询过初级保健医生；55.0%更倾向于使用医院急诊服务，13.5%是因为在其他医疗机构就诊延误而来。一半患者（50.5%）年龄小于40岁，9.2%为外国人。
结论
除非根据所表达的需求调整服务供给和/或开展干预措施对公众进行合理使用医疗服务的教育，否则医疗服务消费模式的变化可能危及公共卫生系统。
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