title: [Evaluation of a pediatric emergency room: ten years later].
abstract: Utilization of the pediatric Emergency Room has been evaluated during the year 1991, by a questionnaire study on 694 children. By comparison with a previous research in 1981 it was possible to identify a further decrease of urgent and appropriate visits with increase of those inappropriate. Visits were more frequently urgent of appropriate in case of acute health problems, inappropriate if related to recurrent problems. Without considering true emergencies, three main causes for ER consultation have been identified: family custom, inappropriate relationships with the practitioner, dependence on the hospital. In the first group of children most of the visits proved inappropriate. The study points out a further increase of inappropriate utilization of ER, due mainly to inappropriate relationships between the family and the practitioner. This has to be corrected to reduce costs and improve child care.
authors.affiliation: Servizio di Pronto Soccorso e Primo Accoglimento, IRCCS Istituto per l'Infanzia, Trieste.
authors.forename: M G
authors.initials: MG
authors.lastname: Pizzul
authors.forename: G
authors.initials: G
authors.lastname: Canciani
authors.forename: G
authors.initials: G
authors.lastname: Messi
authors.forename: S
authors.initials: S
authors.lastname: Renier
authors.forename: I
authors.initials: I
authors.lastname: Rudoi
authors.forename: A G
authors.initials: AG
authors.lastname: Marchi
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D003695:Delivery of Health Care / Q000592:standards; D004636:Emergency Service, Hospital / Q000592:standards / Q000706:statistics & numerical data*; D005190:Family; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D007558:Italy; D008297:Male; D010372:Pediatrics / Q000592:standards*; D010817:Physician-Patient Relations
vernacular_title: Valutazione del ricorso al pronto soccorso pediatrico: 10 anni dopo.