Hunt R C, DeHart K L, Allison E J, Whitley T W
Department of Emergency Medicine, East Carolina University School of Medicine, Greenville, NC, USA.
Am J Emerg Med. 1996 Nov;14(7):635-9. doi: 10.1016/S0735-6757(96)90077-7.
The purpose of this study was to examine patients' and physicians' perceptions of the urgency of need for emergency medical care, and why patients come to the emergency department (ED). Survey instruments were utilized at EDs at an academic tertiary care center and a community hospital. Physicians' prospective assessment indicated that 65.8% (921 of 1,400) of the patients seen needed attention within 12 hours, whereas the patients' perception was that 86.5% (957 of 1,106) needed care within 12 hours. Patients' and physicians' retrospective responses were compared; in 19.5% (152 of 781) of cases patients rated urgency of their condition lower than the physician. These results indicate that patients and the physicians who treat them, despite the passage of a decade since a previous report of a similar study and a vastly different patient and physician population, have similar perceptions of the need for emergency care. Additionally, patients presented to EDs for a multitude of reasons; however, in strikingly different patient populations, a number of reasons are identified consistently.
本研究的目的是考察患者和医生对紧急医疗需求紧迫性的看法，以及患者前往急诊科（ED）的原因。在一家学术性三级医疗中心和一家社区医院的急诊科使用了调查问卷。医生的前瞻性评估表明，所诊治的患者中有65.8%（1400例中的921例）需要在12小时内得到关注，而患者的看法是86.5%（1106例中的957例）需要在12小时内得到治疗。比较了患者和医生的回顾性回答；在19.5%（781例中的152例）的病例中，患者对自身病情紧迫性的评分低于医生。这些结果表明，尽管自上一份类似研究报告发表以来已过去十年，且患者和医生群体差异巨大，但接受治疗的患者和医生对紧急护理需求的看法相似。此外，患者前往急诊科有多种原因；然而，在截然不同的患者群体中，一些原因是一致的。
