DeAngelis C, Fosarelli P, Duggan A K
Pediatr Emerg Care. 1985 Jun;1(2):61-5.
Two thousand forty-four emergency department (ED) visits were made during a one-year period by 714 children enrolled in a primary care clinic. Eight hundred one (39.2%) visits were for urgent or emergent conditions, and 579 (28.3%) were for presenting complaints suggestive of urgent or emergent conditions, including 65 based on parental concern. Six hundred sixty-four (32.5%) visits might have been considered medically inappropriate using criteria specifically developed for this study. These criteria were developed as a standard which might be used for future studies on ED use by children. Children without medical assistance and those over 12 months of age were more likely to be consistently appropriate users. Appropriateness of use was not associated with the patient's race, sex, distance of home from the hospital, telephone availability, length of clinic enrollment, type of primary provider, or chronic disease other than asthma. Further, medical assistance recipients were more likely to make three or more inappropriate visits than were the other groups.
一家初级保健诊所登记在册的714名儿童在一年时间里进行了2044次急诊科就诊。其中801次（39.2%）就诊是因为紧急或急症情况，579次（28.3%）就诊是因为出现提示紧急或急症情况的主诉，包括基于家长担忧的65次。根据为本研究专门制定的标准，664次（32.5%）就诊可能被认为在医学上是不恰当的。这些标准被制定为一个可用于未来儿童急诊科使用情况研究的标准。没有医疗救助的儿童以及12个月以上的儿童更有可能一直是恰当的使用者。使用的恰当性与患者的种族、性别、家离医院的距离、是否有电话、诊所登记时长、初级医疗服务提供者类型或除哮喘外的慢性病无关。此外，接受医疗救助的儿童比其他组更有可能进行三次或更多次不恰当就诊。
