title: [Quality and improvement propositions for the Annecy emergency medical services].
abstract: Emergency visits are one of the most common ways patients are admitted to hospitals. This study aims to characterise emergency visits in the Annecy District, in order to identify future actions for better management. Four studies were implemented: telephone surveys among 600 households and 130 physicians; and two observational studies of emergency visits to 80 physicians and to hospital emergency services. We observed that the hospital emergency service offers patients a good service, and therefore attracts many minor pathologies not requiring a hospital visit. Implementation of alternative structures, outside the hospital, to offer similar service must be considered. Co-operation among the different actors must be improved, and can benefit from new communication technology.
authors.affiliation: Service d'accueil des urgences, Centre Hospitalier de la Région Annecienne (CHRA), 74011 Annecy. dim.xcourtois@ch-annecy.fr
authors.forename: X
authors.initials: X
authors.lastname: Courtois
authors.forename: J J
authors.initials: JJ
authors.lastname: Baniachemi
authors.forename: D
authors.initials: D
authors.lastname: Carrier
authors.forename: J B
authors.initials: JB
authors.lastname: Driencourt
authors.forename: A M
authors.initials: AM
authors.lastname: Fabretti
authors.forename: J
authors.initials: J
authors.lastname: Gaillat
authors.forename: J P
authors.initials: JP
authors.lastname: Bissuel
mesh_terms: D001291:Attitude of Health Personnel; D001294:Attitude to Health; D004631:Emergency Medical Service Communication Systems / Q000458:organization & administration; D004636:Emergency Service, Hospital / Q000592:standards*; D005602:France; D019538:Health Care Surveys; D006801:Humans; D020380:Needs Assessment; D010820:Physicians / Q000523:psychology; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration*