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Text
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URL Address
<a href="http://doi.org/10.1001/archpedi.1993.02160320065021" target="_blank" rel="noreferrer">http://doi.org/10.1001/archpedi.1993.02160320065021</a>
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Title
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Advice seeking and appropriate use of a pediatric emergency department
Publisher
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American Journal Of Diseases Of Children
Date
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1993
Subject
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Child; Cross-Sectional Studies; Female; Humans; infant; Male; Questionnaires; Age Factors; Health Services Research; Severity of Illness Index; Sex Factors; Hospitals; Quebec; Emergency Service; adolescent; Hospital/utilization; Preschool; infant; Newborn; algorithms; Birth Order; Counseling/statistics & numerical data; Health Services Misuse/statistics & numerical data; Parents/education/psychology; Patient Acceptance of Health Care/statistics & numerical data; Pediatric/utilization; Teaching/utilization
Creator
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Oberlander T; Pless IB; Dougherty GE
Description
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OBJECTIVES: To determine whether seeking advice prior to an unscheduled visit to a pediatric emergency department (PED) influences appropriate use of this setting for minor illnesses. DESIGN: Cross-sectional questionnaire survey. SETTING: The medical emergency department of the Montreal (Quebec) Children's Hospital, a major referral and urban teaching hospital. PARTICIPANTS: Four hundred eighty-nine of 562 consecutive parents visiting the PED over two periods, one in February and the other in July 1989. INTERVENTIONS: None. MEASUREMENTS/MAIN RESULTS: Parents of children between 0 and 18 years of age visiting the PED were asked whether they had previously sought advice from family, friends, or a physician. Other factors possibly related to the decision to seek care were also measured. Appropriateness was rated, blind to discharge diagnosis, by two pediatricians using a structured series of questions incorporating the child's age, time of the visit, clinical state, and problem at presentation. Thirty-four percent of visits among respondents were judged appropriate. In bivariate analysis, appropriate visits occurred significantly more often when a parent spoke to both a physician and a nonphysician (47%) prior to visiting the PED than when no advice was sought (29%; P < .05). In multivariate analysis, having a regular physician and being one of two children also contributed to appropriateness. CONCLUSIONS: Appropriate use of the PED was positively influenced by seeking prior advice from both a physician and family member, having a regular physician, and having prior child care experience.
1993
Identifier
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<a href="http://doi.org/10.1001/archpedi.1993.02160320065021" target="_blank" rel="noreferrer">10.1001/archpedi.1993.02160320065021</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1993
Adolescent
Age Factors
algorithms
American Journal Of Diseases Of Children
Backlog
Birth Order
Child
Counseling/statistics & numerical data
Cross-sectional Studies
Dougherty GE
Emergency Service
Female
Health Services Misuse/statistics & numerical data
Health Services Research
Hospital/utilization
Hospitals
Humans
Infant
Journal Article
Male
Newborn
Oberlander T
Parents/education/psychology
Patient Acceptance Of Health Care/statistics & Numerical Data
Pediatric/utilization
Pless IB
Preschool
Quebec
Questionnaires
Severity Of Illness Index
Sex Factors
Teaching/utilization