title: [Inadequate demand in a pediatric hospital emergency department: factors involved].
abstract: BACKGROUND
  The massification of pediatric hospital emergency departments (PED) is due to bad use of the same by a large number of users. The causes related with this inadequate use have not been properly evaluated.
  
  
  METHODS
  A sample representative of the population demanding medical care in a PED of a regional hospital was studied with the motives and sociodemographic and cultural factors presumably related with this inadequate demand being analyzed.
  
  
  RESULTS
  52% of the cases had had no previous contact with the primary level of health care and 79% had gone to the PED on their own initiative. With regard to consultations, 65.0 +/- 4.8% were catalogued as inadequate and a statistical relation was found with the age of the patient (less than one year), place of residence (urban) and the arrival by initiative of the patients themselves.
  
  
  CONCLUSIONS
  Pediatric hospital emergency departments receive a high number of inadequate consultations at the second level of health care. The importance of the age of the patient, accessibility of pediatric hospital emergency departments and who takes the initiative to come must be emphasized as predictive variables of the bad use of these pediatric departments.
authors.affiliation: Unidad Docente de Medicina Familiar y Comunitaria de Córdoba.
authors.forename: M D
authors.initials: MD
authors.lastname: Antón
authors.forename: J C
authors.initials: JC
authors.lastname: Peña
authors.forename: R
authors.initials: R
authors.lastname: Santos
authors.forename: E
authors.initials: E
authors.lastname: Sempere
authors.forename: J
authors.initials: J
authors.lastname: Martínez
authors.forename: L A
authors.initials: LA
authors.lastname: Pérula
mesh_terms: D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D006748:Hospital Departments / Q000706:statistics & numerical data*; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D010372:Pediatrics; D013030:Spain
vernacular_title: Demanda inadecuada a un servicio de urgencias pediátrico hospitalario: factores implicados.