Advice seeking and appropriate use of a pediatric emergency department

Title

Advice seeking and appropriate use of a pediatric emergency department

Creator

Oberlander T; Pless IB; Dougherty GE

Publisher

American Journal Of Diseases Of Children

Date

1993

Subject

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

Description

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

Rights

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

Journal Article

Citation List Month

Backlog

Pages

863-867

Issue

8

Volume

147

Citation

Oberlander T; Pless IB; Dougherty GE, “Advice seeking and appropriate use of a pediatric emergency department,” Pediatric Palliative Care Library, accessed September 25, 2021, https://pedpalascnetlibrary.omeka.net/items/show/12360.

Social Bookmarking