Kalidindi Shiva, Mahajan Prashant, Thomas Ronald, Sethuraman Usha
Department of Pediatrics, Division of Pediatric Emergency Medicine, Children's Hospital of Western Ontario, University of Western Ontario, London, Ontario, Canada.
Pediatr Emerg Care. 2010 Aug;26(8):549-53. doi: 10.1097/PEC.0b013e3181ea71b3.
To assess parental perception of urgency of illness and compare this with an emergency department (ED) physician's assessment of the same.
A prospective study was conducted on convenience sample of parents/legal guardians of 800 patients presenting to the pediatric ED. Parents and physicians were asked to classify the urgency of their child's illness.
For this study, we grouped the urgency of illness as "urgent" (care needed within 24 hours) and "nonurgent" (care could safely wait until the next day). Ninety-four percent of parents considered their child's illness as urgent and 6% as nonurgent. Of the patients whose parents perceived the illness as nonurgent, 31% were assessed by physicians as requiring urgent attention.
In our study, there was a significant discrepancy between the parental perceptions of urgency of illness and the ED physician assessment of the same. A significant proportion of children whose visits are perceived as nonurgent do require urgent care.
评估家长对疾病紧迫性的认知，并将其与急诊科医生的评估进行比较。
对到儿科急诊科就诊的800名患者的家长/法定监护人进行便利抽样的前瞻性研究。要求家长和医生对孩子疾病的紧迫性进行分类。
在本研究中，我们将疾病紧迫性分为“紧急”（需在24小时内得到治疗）和“非紧急”（可安全等待至次日治疗）。94%的家长认为孩子的疾病紧急，6%认为不紧急。在家长认为不紧急的患者中，31%被医生评估为需要紧急关注。
在我们的研究中，家长对疾病紧迫性的认知与急诊科医生的评估之间存在显著差异。很大一部分被认为就诊不紧急的儿童确实需要紧急治疗。
