Question

assessing challenges with access to care for patients presenting to the emergency department for non-emergent complaints. medical journal

Answer 1

The most frequently cited causes among patients regarding access to care for patients presenting to the emergency department for non emergent complaints are self-described emergency and the inability to schedule an appointment in time

According to a poll conducted and the results documented in a medical journal, patients who signed into the emergency department at the Brooke Army Medical Center had an emergency severity score of 4 or 5.

Survey Results:

-The most often cited reasons on the survey were an emergency that the respondent self-reported (n=58) and a difficulty to schedule an appointment in a timely manner (n=73).

-The majority (n=86) said they would have used main care if they could have gotten an appointment the following morning, but many (n=77) said they would have gone to the emergency room regardless of whether primary care was available.

-More primary care appointments being made available was the most often suggested solution (n=96). The most common type of examination was an X-ray (37%) followed by a laboratory investigation (20%).

- 38% (n=78) of patients admitted trying to schedule an appointment with their primary care before going to the emergency room. 22% (n=46) of people reported calling the nurse advice line prior to visiting the ED.

A significant factor in the usage of the ED for non-emergent visits appears to be patient perceptions of the difficulties in getting appointments. In our dataset, the majority of patients who were surveyed said they had trouble getting an appointment on time or self-reported an emergency.

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