The objective of this study was to identify pediatric emergency department (PED) utilization patterns to develop areas for future educational interventions.
To this end a verbally administered questionnaire by a single interviewer was given over 17 days between February 8,1993, through April 7,1993, at a PED of an urban university hospital.
Participating were 300 families (convenience sample) who were interviewed at varying times of the day and night.
They represented about 20% of PED visits during the survey days.
Each parent was surveyed about his/her child's health.
Parents were also asked to indicate on a linear scale how sick they believed their child was.
The mean patient age was 3.8 rhô 4.3 years ; 81% were African-American, 15% were Caucasian, and 2% were Hispanic ; 65% had medical assistance (MED), 21% had commercial insurance (COM), and 4% had both.
Ten percent either had no insurance or their insurance status was unknown.
Thirty-four percent of patients utilized a community clinic for primary health care, 32% identified a private physician, and 28% used the hospital's pediatric clinic.
The most commonly stated reasons for coming to the PED differed between the MED and COM groups : 14% of the MED group was referred compared to 59% of the COM group (P=0.002, X#F2), 24% of the MED group came because their primary care provider's office was closed compared to 3% of the COM group (P<0.01, X#F2).
Seventy-one percent of COM group called their primary c...
Mots-clés Pascal : Service hospitalier, Urgence, Pédiatrie, Comportement parental, Utilisation, Santé publique, Hospitalisation, Enfant, Enquête, Questionnaire, Etats Unis, Protection sociale, Etude comparative, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Hospital ward, Emergency, Pediatrics, Parental behavior, Use, Hospitalization, Child, Inquiry, Questionnaire, United States, Welfare aids, Comparative study, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0166899
Code Inist : 002B30A04A. Création : 199608.