Predictors of non-urgent utilization of hospital emergency services in Kuwait.
Utilization of the emergency rooms (ERs) in Kuwait has increased considerably during the last decade.
Such an increase is a concern for health planners because of the burden on ER services, lack of continuous service provided by the ER and the higher cost of such services.
Based on a study of 2011 patients attending the medical ERs in the six government hospitals in early 1993, the predictors of non-urgent utilization were analyzed.
Patients were asked about their reasons for visiting the ER rather than the primary health care (PHC) centre.
Both patients and doctors were asked to rate the urgency of the visit.
According to the doctors'judgment, 61% of the visits were for non-urgent problems that did not require emergency care, while 23% of the patients viewed their visits to be non-urgent.
Multiple logistic regression analysis indicated that perceived urgency of the visit was the most important predictor of a non-urgent visit to the ER, after controlling for several predisposing and enabling factors.
Patients who perceived their visit to the ER to be non-urgent were about four times more likely to visit the ER for a non-urgent condition as judged by the doctor.
The level of education had a significant, positive effect on non-urgent utilization among both Kuwaiti nationals and expatriates.
Several factors may explain the above finding.
Employment of educated persons in the hospital was one route through which education facilitated ER use.
It is also likely ...
Mots-clés Pascal : Utilisation, Service hospitalier, Urgence, Prédiction, Evaluation, Organisation santé, Système santé, Homme, Soin santé primaire, Indication, Koweit, Asie
Mots-clés Pascal anglais : Use, Hospital ward, Emergency, Prediction, Evaluation, Public health organization, Health system, Human, Primary health care, Indication, Kuwait, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0227493
Code Inist : 002B30A01B. Création : 199608.