| Titre : | Factors associated with non-urgent utilization of Accident and Emergency services : a case-control study in Hong Kong. (2000) |
| Auteurs : | A. LEE ; S. CHOW ; C.B. HAZLETT ; C.W. KAM ; F.L. LAU ; P. WONG ; T.W. WONG ; Department of Community and Family Medicine. The Chinese University of Hong Kong. HKG |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 51, n° 7, 2000) |
| Pagination : | 1075-1085 |
| Langues: | Anglais |
| Mots-clés : | Hongkong ; Chine ; Asie ; Epidémiologie ; Homme ; Etat santé ; Utilisation ; Service urgence ; Facteur sociodémographique ; Facteur socioéconomique |
| Résumé : | [BDSP. Notice produite par INIST NCJR0xdl. Diffusion soumise à autorisation]. Accident and Emergency Departments (A & E) have been a popular source of primary care, and studies have shown that up to two thirds of patients attending A & E have problems that could be managed by general practitioners (GPs). Although many studies have found that patients of lower socio-economic class with less social support have a higher utilization rate of A & E, some recent studies have revealed contrary evidence. In this study 2410 patients were randomly selected from four A & E at different times. The gold standard in differentiating true emergency cases and GP cases was based on a retrospective record review conducted independently by a panel of emergency physicians. Two emergency physicians reviewed each case independently, and if their independent ratings were in agreement, this became the gold standard. Patients classified as GP cases were given a telephone interview, and a sample was selected and matched with cases from general out patient clinics (GOPC) in the public sector by morbidity. Reasons for not attending a private GP included closure of clinic, deterioration of symptoms, GPs'inability to diagnose properly, and patients'wish to continue medical treatment in the same hospital. (...) |
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