Evaluation of Patients Admissing Emergency Care Services from the Point of View of Family Medicine
INTRODUCTION: Inappropriate use of Emergency Department (ED) for non-urgent complaints compromises the functioning of ED and has been increasing day by day. In this study we examined the annual data of the patients who admitted to the Emergency Department in order to determine the ratio of appropria...
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| Format: | Article |
| Language: | English |
| Published: |
Ankara Yildirim Beyazit University
2020-06-01
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| Series: | Ankara Medical Journal |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=amj&un=AMJ-61214 |
| _version_ | 1797922255928295424 |
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| author | Burcu Kayhan Tetik Bora Tetik Aytaç karaoğlan Cem alpağan Burak Mete Nur Paksoy |
| author_facet | Burcu Kayhan Tetik Bora Tetik Aytaç karaoğlan Cem alpağan Burak Mete Nur Paksoy |
| author_sort | Burcu Kayhan Tetik |
| collection | DOAJ |
| description | INTRODUCTION: Inappropriate use of Emergency Department (ED) for non-urgent complaints compromises the functioning of ED and has been increasing day by day. In this study we examined the annual data of the patients who admitted to the Emergency Department in order to determine the ratio of appropriate usage according to the definitive diagnoses of the patients and to help forward new policies regarding this issue.
METHODS: Files of patients, who admitted to our ED between January 1 and to December 31 2017, were examined. Data were evaluated by SPSS software version 22 and the analyses were performed by using Chi-square test. A value of p <0.05 was accepted to be statistically significant. RESULTS: We found that 72.20% (n: 42785\59282) of the people who admitted to the ED during one year had admitted for complaints that should be addressed in the primary healthcare centers or specialist policlinics and only 19.2% (n: 11359\59282) of the ED visits were appropriate. We also found that the most frequent reasons for ED visits were respiratory system symptoms and pain. DISCUSSION AND CONCLUSION: We found that the vast majority of the patients who admitted to the emergency department were not actually urgent. We suggest that measures such as effectuation of the referral system for effective use of the family medicine system, use of triage in emergency departments, and extra fees for using the emergency department inappropriately can be implemented to reduce the workload in emergency services. |
| first_indexed | 2024-04-10T14:28:37Z |
| format | Article |
| id | doaj.art-88dae45fc58f434ab6942d244b193cde |
| institution | Directory Open Access Journal |
| issn | 2148-4570 |
| language | English |
| last_indexed | 2024-04-10T14:28:37Z |
| publishDate | 2020-06-01 |
| publisher | Ankara Yildirim Beyazit University |
| record_format | Article |
| series | Ankara Medical Journal |
| spelling | doaj.art-88dae45fc58f434ab6942d244b193cde2023-02-15T16:08:57ZengAnkara Yildirim Beyazit UniversityAnkara Medical Journal2148-45702020-06-0120228128910.5505/amj.2020.61214AMJ-61214Evaluation of Patients Admissing Emergency Care Services from the Point of View of Family MedicineBurcu Kayhan Tetik0Bora Tetik1Aytaç karaoğlan2Cem alpağan3Burak Mete4Nur Paksoy5Inonu University Medical Faculty, Department Of Family Medicine, Malatya, TurkeyInonu University Medical Faculty, Department Of Neurosurgery, Malatya, TurkeyInonu University Medical Faculty, Malatya, TurkeyMalatya Research And Training Hospital Department Of Emergency, Malatya, TurkeyCukurova University Medical Facullty, Department Of Public Health, Adana, TurkeyYeşilyurt Community Health Center, Malatya, TurkeyINTRODUCTION: Inappropriate use of Emergency Department (ED) for non-urgent complaints compromises the functioning of ED and has been increasing day by day. In this study we examined the annual data of the patients who admitted to the Emergency Department in order to determine the ratio of appropriate usage according to the definitive diagnoses of the patients and to help forward new policies regarding this issue. METHODS: Files of patients, who admitted to our ED between January 1 and to December 31 2017, were examined. Data were evaluated by SPSS software version 22 and the analyses were performed by using Chi-square test. A value of p <0.05 was accepted to be statistically significant. RESULTS: We found that 72.20% (n: 42785\59282) of the people who admitted to the ED during one year had admitted for complaints that should be addressed in the primary healthcare centers or specialist policlinics and only 19.2% (n: 11359\59282) of the ED visits were appropriate. We also found that the most frequent reasons for ED visits were respiratory system symptoms and pain. DISCUSSION AND CONCLUSION: We found that the vast majority of the patients who admitted to the emergency department were not actually urgent. We suggest that measures such as effectuation of the referral system for effective use of the family medicine system, use of triage in emergency departments, and extra fees for using the emergency department inappropriately can be implemented to reduce the workload in emergency services.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=amj&un=AMJ-61214emergency departmentprimary caregate keeping |
| spellingShingle | Burcu Kayhan Tetik Bora Tetik Aytaç karaoğlan Cem alpağan Burak Mete Nur Paksoy Evaluation of Patients Admissing Emergency Care Services from the Point of View of Family Medicine Ankara Medical Journal emergency department primary care gate keeping |
| title | Evaluation of Patients Admissing Emergency Care Services from the Point of View of Family Medicine |
| title_full | Evaluation of Patients Admissing Emergency Care Services from the Point of View of Family Medicine |
| title_fullStr | Evaluation of Patients Admissing Emergency Care Services from the Point of View of Family Medicine |
| title_full_unstemmed | Evaluation of Patients Admissing Emergency Care Services from the Point of View of Family Medicine |
| title_short | Evaluation of Patients Admissing Emergency Care Services from the Point of View of Family Medicine |
| title_sort | evaluation of patients admissing emergency care services from the point of view of family medicine |
| topic | emergency department primary care gate keeping |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=amj&un=AMJ-61214 |
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