Educational interventions to alter pediatric emergency department utilization patterns.
To test the hypothesis that educating parents about use of their primary care provider and providing information about common pediatric illnesses will reduce visits to the pediatric emergency department (PED).
Prospective, randomized, controlled trial conducted from September 1,1993, to October 31,1994.
Pediatric emergency department of an urban university hospital.
Parents of 130 patients seen in the PED for minor illness.
Subjects were randomized to intervention or control groups.
Parents in both groups were interviewed about their child's health and use of health care services.
The intervention group received education on pediatric health care issues ; the control group received usual PED discharge instructions.
Use of the PED by all subjects was tracked for 6 months by telephone follow-up and medical record review.
Main Outcome Measures
Differences between the two groups in total number of return visits to the PED and return visits to the PED for minor illness.
Sixty-seven (97%) of the 69 patients in the intervention group and 56 (92%) of the 61 patients in the control group identified a primary care provider.
At 6-month follow-up, 21 patients (30%) from the intervention group and 16 (26%) from the control group had returned to the PED (P=68, khi2).
Seventeen (81%) of intervention group returnees to the PED had minor illness, as did 11 (69%) of control group returnees. (...)
Mots-clés Pascal : Urgence, Pédiatrie, Apprentissage intellectuel, Parent, Information utile, Enfant, Homme
Mots-clés Pascal anglais : Emergency, Pediatrics, Intellectual learning, Parent, Useful information, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0379566
Code Inist : 002B30A01C. Création : 10/04/1997.