Physician parents and utilization of a pediatric emergency department.
Health care costs might be reduced if patients could be taught to avoid using an emergency department (ED) for nonurgent illness.
This study sought to determine whether children with a physician parent, a group whose parents possess special expertise in judging the severity of acute illness, utilize a pediatric ED differently from children with non-physician parents.
Retrospective cohort study.
A children's hospital ED.
The study population consisted of all children who visited the ED over an 11-month period who had a physician parent.
These children were compared to 1000 controls randomly selected from children who visited the ED over the same time period.
Two other groups were selected for comparison to controls : children with a nurse parent and children with an attorney parent.
Main outcome measures
Urgent versus nonurgent final diagnosis.
There were no clinically important or statistically significant differences with regard to age, sex, time of presentation, disposition from the ED, or nursing acuity level when the 72 children with a physician parent, the 136 children with a nurse parent, or the 135 children with an attorney parent were compared to the control children.
Compared to the control group, children of physician parents were less likely to have a nonurgent final diagnosis : 33 versus 53% ; relative risk (RR) 0.62 (95% confidence interval [CI] 0.44-0.87). (...)
Mots-clés Pascal : Médecin, Parent, Urgence, Service hospitalier, Economie santé, Enfant, Homme
Mots-clés Pascal anglais : Physician, Parent, Emergency, Hospital ward, Health economy, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0126790
Code Inist : 002B27B14C. Création : 21/05/1997.