Swavely Deborah, Baker Kathy, Bilger Krista, Zimmerman David F, Martin Andrew
Health Systems Research and Innovation (Dr Swavely, Ms Baker, and Mr Zimmerman) and Department of Emergency Medicine (Ms Bilger and Mr Martin), Lehigh Valley Health Network, Allentown, Pennsylvania.
J Nurs Care Qual. 2015 Oct-Dec;30(4):366-72. doi: 10.1097/NCQ.0000000000000126.
We conducted a mixed-method study to analyze the population and financial impact of emergency department use for pediatric nonurgent problems. Findings from this initial study led to our phase 2 case study, in which we interviewed 23 adults accompanying children younger than 4 years with nonemergent fever. The resulting qualitative analysis revealed that participants were unable to distinguish urgent from nonurgent conditions, perceived access limitations to care, and although they preferred the child's primary care physician, went to the emergency department for care.
我们开展了一项混合方法研究，以分析因儿科非紧急问题使用急诊科所产生的人群和财务影响。这项初步研究的结果促成了我们的第二阶段案例研究，在该研究中，我们采访了23名陪同4岁以下非紧急发热儿童的成年人。定性分析结果显示，参与者无法区分紧急情况和非紧急情况，感觉获得医疗服务存在限制，并且尽管他们更倾向于让孩子的初级保健医生看病，但还是会前往急诊科就医。
