Llorente Alvarez S, Alonso Fernández M, Buznego Alvarez B
Centro de Salud La Felguera, Langreo, Asturias.
Aten Primaria. 1996 Sep 30;18(5):243-7.
To know the sociodemographic variables influence on a county hospital emergency department attendance, spontaneous consults reasons and to analyze the derivations made from primary care.
Descriptive, crossover.
All who attended the emergency department in this period, excluded the pediatrics population, moved patients and occasional emergencies (n = 755). We collected sociodemographic characteristics, emergency justification, way of access (spontaneous or referred), spontaneous visits reasons and doctor from whom refers.
Average age: 52 +/- 23. Mostly males. An 83% belongs to non-productive sectors. An 51.1% came without P10 alleging symptoms which suggested seriousness or because they considered that there are more means in a hospital. Emergencies referred from primary care, specially those referred by their family doctor were admitted in a bigger proportion and were more justified than the spontaneous ones. Self decision attendance decreases from the closest health basic area to the furthest, difference which is not observed in referred patients.
The emergency user in a hospital is a male, middle-aged, non-productive laboraly. Most patients referred from primary care (specialty those by the family doctor) are justified and produce incomes. Distance inversely influences spontaneous attendance, but does not influence patients referred from primary care.
了解社会人口统计学变量对县级医院急诊科就诊率、自发就诊原因的影响，并分析来自初级保健机构的转诊情况。
描述性交叉研究。
在此期间到急诊科就诊的所有患者，不包括儿科患者、转院患者和偶发急诊患者（n = 755）。我们收集了社会人口统计学特征、急诊理由、就诊途径（自发就诊或转诊）、自发就诊原因以及转诊医生。
平均年龄：52±23岁。男性居多。83%属于非生产性部门。51.1%的患者在没有P10的情况下前来就诊，声称有提示病情严重的症状，或者因为他们认为医院有更多资源。来自初级保健机构的转诊患者，特别是那些由家庭医生转诊的患者，入院比例更高，且比自发就诊患者更有理由。从最近的基层医疗区域到最远的区域，自行决定就诊的比例逐渐下降，而在转诊患者中未观察到这种差异。
医院急诊患者以男性、中年、非生产性劳动者为主。大多数来自初级保健机构的转诊患者（特别是家庭医生转诊的患者）有合理理由且有收入。距离对自发就诊有反向影响，但对来自初级保健机构的转诊患者没有影响。
