Full-text resources of CEJSH and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl

PL EN


2019 | 3 | 230-236

Article title

Factors determining patient admittance to the observation and consultation areas of the Emergency Department on workdays versus weekends

Content

Title variants

Languages of publication

EN

Abstracts

EN
Background. In Poland, as in the world at large, Emergency Departments (EDs) face a formidable problem as they are overloaded with an excessive number of patients. It was decided to investigate whether there are any factors which determine patient admittance rates to the observation and consultation areas of EDs. Objectives. The aim of this study is to determine whether differences in the rates of patient visits to emergency rooms (observation and consultation areas) on workdays and on weekends, are significantly determined by sociodemographic variables, patients’ beliefs and knowledge about the functioning of EDs and primary healthcare facilities (PHFs) or health-related variables. Material and methods. A total of 164 patients from the ED of the University Clinical Hospital in Opole were examined. The diagnostic survey method was employed, using the Satisfaction with Life Scale (SWLS), the Hospital Anxiety and Depression Scale (HADS) and an original questionnaire of the authors’ own design. Results. Neither age (p = 0.059), sex (p = 0.687), marital status (p = 0.585), place of residence (p = 0.423), employment status (p = 0.401), the presence of chronic diseases (p = 0.936) nor a lack of trust in primary care physicians (p = 1.000) determined the ED admittance rates on weekdays versus weekends. People who did not know where to seek medical help at night and on national holidays were more likely to visit the ED on weekends than on weekdays (28.5%; 23% vs 10.98%; 9, p = 0.010). Conclusions. It is difficult to define the characteristics of healthcare service recipients visiting the ED in terms of whether the admittance is a on workday or a weekend day. During each shift, the ED staff should be prepared to receive patients of different sociodemographic backgrounds and health statuses, possessing different levels of knowledge and beliefs about the functioning of EDs and PHFs

Contributors

References

  • Rozporządzenie Ministra Zdrowia w sprawie szpitalnego oddziału ratunkowego (Dz.U. 11.237.1420 z 3 listopada 2011 r.) (in Polish).
  • Ondler C, Hegde GG, Carlson JN. Resource utilization and health care charges associated with the most frequent ED users. Am J Emerg Med 2014; 32(10): 1215–1219.
  • Guła P, Karwan K. Wykorzystanie analizy Lean do oceny funkcjonowania Szpitalnych Oddziałów Ratunkowych na podstawie doświadczeń własnych. Lek Wojsk 2012; 90(3): 248–251 (in Polish).
  • Guła P, Karwan K. Ocena zasadności stosowania szpitalnej segregacji medycznej w aspekcie bezpieczeństwa pacjentów leczonych na Szpitalnym Oddziale Ratunkowym. Lek Wojsk 2013; 91(4): 395–398 (in Polish).
  • Najwyższa Izba Kontroli. Funkcjonowanie Systemu Ratownictwa Medycznego. Informacja o wynikach kontroli. No 149/2012/P11094/KZD [cited 13.11.2017]. Available from URL: https://www.nik.gov.pl/kontrole/wyniki-kontroli-nik/kontrole,10324.html (in Polish).
  • Pilip S, Bondaruk Ł, Celiński D, et al. Szpitalny Oddział Ratunkowy – czy jest to tylko jednostka systemu Państwowego Ratownictwa Medycznego? OPM 2013; 3: 59–62 (in Polish).
  • Bjørnsen LP, Uleberg O, Dale J. Patient visits to the emergency department at a Norwegian university hospital: variations in patient gender and age, timing of visits, and patient acuity. Emerg Med J 2013; 30(6): 462–466.
  • Cichońska M, Maciąg D, Borek M. Poziom obciążenia ratownictwa medycznego i szpitalnych oddziałów ratunkowych w systemie świadczeń zdrowotnych. Lek Wojsk 2015; 93(1): 17–22 (in Polish).
  • Morley C, Unwin M, Peterson GM, et al. Emergency department crowding: a systematic review of causes, consequences and solutions.PLoS ONE 2018; 13(8): e0203316, doi: 10.1371/journal.pone.0203316.
  • Crowe S, Grieco L, Vindrola-Padros C, et al. Multidisciplinary embedded research to identify solutions to emergency department overcrowding. Int J Qual Health Care 2017; 91(2): 55–56.
  • van der Linden C, Reijnen R, Derlet RW, et al. Emergency department crowding in the Netherlands: managers’ experiences. Int J Emerg Med 2013; 6(1): 41, doi: 10.1186/1865-1380-6-41.
  • BAROMETR WHC (Watch Health Care). Raport na temat zmian w dostępności do gwarantowanych świadczeń zdrowotnych w Polsce nr 18/27/06/2018 [cited 05.02.2019]. Available from URL: http://www.korektorzdrowia.pl/wp-content/uploads/barometrwhc_raport_062018.pdf (in Polish).
  • Szwamel K, Kurpas D. Analysis of factors that determine hospitalization of emergency department patients. Fam Med Prim Care Rev 2016; 18(3): 352–358.
  • Legramante JM, Morciano L, Lucaroni F, et al. Frequent use of emergency departments by the elderly population when continuing care is not well established. PLoS ONE 2016; 11(12): e0165939, doi: 10.1371/journal.pone.0165939
  • Markun S, Holzer BM, Rodak R, et al. Therapeutic conflicts in emergency department patients with multimorbidity: a cross-sectional study. PLoS ONE 2014; 9(10): e110309, doi: 10.1371/journal.pone.0110309.
  • Tortajada S, Giménez-Campos MS, Villar-López J, et al. Case management for patients with complex multimorbidity: development and validation of a coordinated intervention between primary and hospital Care. Int J Integr Care 2017; 17(2): 4, doi: 10.5334/ijic.2493.
  • Lubszczyk M, Pietrus M, Sulewski M, et al. Emerytura na SORze – analiza przyczyn hospitalizacji osób po 65 roku życia w szpitalnym oddziale ratunkowym. Geriatria 2014; 8: 93–101 (in Polish).
  • Dark T, Flynn H, Rust G, et al. Epidemiology of Emergency Department visits for anxiety in the United States: 2009–2011. Psychiatr Serv 2017; 68(3): 238–244.
  • Martin LJ, Im C, Dong H, et al. Influenza-like illness-related emergency department visits: Christmas and New Year holiday peaks and relationships with laboratory-confirmed respiratory virus detections, Edmonton, Alberta, 2004–2014. Influenza Other Respir Viruses 2017; 11(1): 33–40, doi: 10.1111/irv.12416.
  • Hartmann P, Jackowska T, Przybysz P, et al. Analysis of hospitalization of children at the Hospital Emergency Department in 2014-own observations. Post Nauk Med 2016; 29(6): 368–372.
  • Juczyński Z. NPPPZ Narzędzia Pomiaru w Promocji i Psychologii Zdrowia. Warszawa: Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego; 2012 (in Polish).
  • Wichowicz H, Wieczorek D. Badanie przesiewowe depresji poudarowej z użyciem Hospital Anxiety and Depression Scale (HADS). Psychiatr Pol 2011; 45(4): 505–514 (in Polish).
  • Dagar S, Sahin S, Yilmaz Y, et al. Emergency department during long public holidays. Turk J Emerg Med 2016; 14(4): 165–171, doi:10.5505/1304.7361.2014.20438.
  • Scantlebury R, Rowlands G, Durbaba S, et al. Socioeconomic deprivation and accident and emergency attendances: cross-sectional analysis of general practices in England. Br J Gen Pract 2015; 65(639): e649-54, doi: 10.3399/bjgp15X686893.
  • McHale P, Wood S, Hughes K, et al. Who uses emergency departments inappropriately and when – a national cross-sectional study using a monitoring data system. BMC Med 2013; 11: 258, doi: 10.1186/1741-7015-11-258.
  • Abar B, Holub A, Lee J, et al. Depression and anxiety among Emergency Department patients: utilization and barriers to care. Acad Emerg Med 2017; 24: 1286–1289.
  • Raport NIK. Dostępność świadczeń nocnej i świątecznej opieki zdrowotnej. Informacja o wynikach kontroli. No 1/2014/P/13/129/KZD [cited 28.04.2019]. Available from URL: https://www.nik.gov.pl/plik/id,6459,vp,8230.pdf (in Polish

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.desklight-75d3155f-da82-41b6-a4e1-40025467cdd8
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.