Children accessing accident and emergency department for non-urgent consultations: A cross-sectional study about parents’ use of primary care services

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2024-05-13 DOI:10.1016/j.ienj.2024.101436

Immacolata Dall’Oglio , Valentina Biagioli , Alessandra Pol , Orsola Gawronski , Claudia Carlin , Luisa Cirulli , Simone Piga , Rocco Stelitano , Caterina Offidani , Umberto Raucci , Antonino Reale , Emanuela Tiozzo , Alberto Villani , Massimiliano Raponi

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引用次数: 0

Abstract

Introduction

Parents often take their children to the Paediatric Accident and Emergency Department (A&E) for non-urgent consultations rather than using community-based primary care services. This study describes the use of primary care services in parents taking their children to the A&E for non-urgent consultations.

Methods

A cross-sectional study was conducted from July 2018 to June 2019, in a second-level Italian paediatric A&E of a tertiary-level children’s academic research and hub hospital. Parents of children aged between 3 months and 6 years assigned with a white code at the triage were asked to complete a paper-and-pencil 40-item questionnaire after accessing the A&E for a non-urgent consultation.

Results

The questionnaire was completed by the parents of 237 children (males 58 %; median age = 2.3 years). Overall, 48.1 % (n = 114) of the parents reported consulting ‘often/always’ the primary care paediatrician, mainly when their child was sick and for check-ups (n = 182, 76.8 %). However, only 7.2 % (n = 17) of the parents ‘often/always’ used any other health service in the community. Most of them (n = 191, 82 %) did not even know where the community health centre was located.

Conclusion

Parents accessing the A&E for non-urgent consultations should be better informed/educated on how to use community health services.

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到急诊室就诊的非急诊儿童：关于家长使用初级保健服务的横断面研究

导言：家长经常带孩子到儿科急诊室（A&E）进行非急诊咨询，而不是使用社区初级医疗服务。本研究描述了家长带孩子到急诊室进行非急诊就诊时对初级医疗服务的使用情况。研究方法于2018年7月至2019年6月在一家三级儿童学术研究和枢纽医院的意大利二级儿科急诊室进行了一项横断面研究。237名儿童（男性占58%；年龄中位数=2.3岁）的家长填写了问卷（男性占58%；年龄中位数=2.3岁）。总体而言，48.1%（n = 114）的家长表示 "经常/总是 "向初级儿科医师咨询，主要是在孩子生病和检查时（n = 182，76.8%）。然而，只有 7.2% 的家长（n = 17）"经常/总是 "使用社区的其他医疗服务。大多数家长（n = 191，82%）甚至不知道社区卫生中心的位置。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.