title: Non-emergency attenders at a district general hospital accident and emergency department.
abstract: Following concern about long waiting times, a survey was carried out in the Accident and Emergency (A&E) department of Monklands District General Hospital over 5 consecutive days to investigate factors related to the bypassing of general practitioners (GPs) by 'self-referred' patients and inappropriate use of the department. Two hundred and forty-five (90.7%) of 270 non-emergency patients who attended the department during GP surgery hours completed a self-administered questionnaire. Variables measured included recent use of health services, perceptions of the GP service and the A&E service and reasons for bypassing the GP. Of the 245 patients, 49 (20%) were defined as inappropriate and 152 (62%) were self-referred. Self-referred patients were no more likely to use the A&E department inappropriately than those who were referred.
authors.affiliation: Department of Public Health, University of Glasgow, UK.
authors.forename: H
authors.initials: H
authors.lastname: Thomson
authors.forename: H S
authors.initials: HS
authors.lastname: Kohli
authors.forename: M
authors.initials: M
authors.lastname: Brookes
mesh_terms: D000328:Adult; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006300:Health Services Misuse; D006767:Hospitals, District; D006769:Hospitals, General; D006801:Humans; D008297:Male; D006113:United Kingdom