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Patient education and emergency room visits

Patient education and emergency room visits Patients visit emergency rooms for urgent and non‐urgent care. Because emergency room visits are more costly than visits to primary care clinics and are less likely to involve preventive care, third party payers and institutions have always tried to shift patients away from the emergency room and towards primary care clinics where appropriate. Hypothesizes that an intervention based in an adult primary care clinic might enable this, especially if it involved patients who used both the clinic and the emergency room. Surveys patients to determine why they used the emergency room and to identify barriers to using the primary care clinic instead. Based on the survey results, an intervention was developed to facilitate use of the primary care clinic. Discusses the methodology used in the survey and analyses results. Concludes that it is difficult to change patient behaviour to fit the demands of the health care system. Possibly, it would be better to change the system to fit the behaviour patterns of the patients. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png British Journal of Clinical Governance Emerald Publishing

Patient education and emergency room visits

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Publisher
Emerald Publishing
Copyright
Copyright © 2000 MCB UP Ltd. All rights reserved.
ISSN
1466-4100
DOI
10.1108/14664100010333017
Publisher site
See Article on Publisher Site

Abstract

Patients visit emergency rooms for urgent and non‐urgent care. Because emergency room visits are more costly than visits to primary care clinics and are less likely to involve preventive care, third party payers and institutions have always tried to shift patients away from the emergency room and towards primary care clinics where appropriate. Hypothesizes that an intervention based in an adult primary care clinic might enable this, especially if it involved patients who used both the clinic and the emergency room. Surveys patients to determine why they used the emergency room and to identify barriers to using the primary care clinic instead. Based on the survey results, an intervention was developed to facilitate use of the primary care clinic. Discusses the methodology used in the survey and analyses results. Concludes that it is difficult to change patient behaviour to fit the demands of the health care system. Possibly, it would be better to change the system to fit the behaviour patterns of the patients.

Journal

British Journal of Clinical Governance – Emerald Publishing

Published: Mar 1, 2000

Keywords: Health care; Hospitals; Primary care

References

  • Primary care physician and patient factors that result in patients seeking emergency care in a hospital setting: the patient’s perspective
    Boushy, D; Dubinsky, I
  • Variations in prudent laypersons’ perceptions of the need for emergent medical care
    Brown, R.; Hernandez, N; Gonsoulin, M.; Carey, M
  • Decreasing nonurgent emergency department utilization by Medicaid children
    Grossman, L.K; Rich, L.N.; Johnson, C
  • Health care utilization after referral from a hospital emergency department
    Hansagi, H; Allebeck, P; Edhag, O
  • Emergency medical care: types trends, and factors related to nonurgent visits
    Liu, T.; Sayre, M.R.; Carleton, S.C.
  • Enhanced emergency department referral improves primary care access
    O’Brien G.M; Stein, M.D; Fagan, M.J.; Shapiro, M.J; Nasta, A