title: Non-urgent presentations to a paediatric emergency department: parental behaviours, expectations and outcomes.
abstract: OBJECTIVE
  To identify factors that influence the attendance of children with non-urgent medical problems to a tertiary paediatric ED and to define parental expectations of the hospital visit.
  
  
  METHODS
  A questionnaire administered to a convenience sample of 200 parents/carers who attended the paediatric ED and whose children were categorized as having non-urgent problems that had been present for at least 4 weeks. Subsequent outpatient attendances were then analysed retrospectively.
  
  
  RESULTS
  Most patients had visited a general practitioner but remained unhappy with the outcome of the consultation. The hospital was expected to provide immediate diagnosis and initiate appropriate treatment by the vast majority of parent. Only four patients required admission.
  
  
  CONCLUSIONS
  The expectations of parents who attend the paediatric ED with children who have non-urgent chronic complaints are high. Rapid access to outpatient clinics might provide an acceptable alternative for these patients, and free valuable ED resources.
authors.affiliation: Department of Emergency Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia. ryanmary@doctors.org.uk
authors.forename: Mary
authors.initials: M
authors.lastname: Ryan
authors.forename: Maureen
authors.initials: M
authors.lastname: Spicer
authors.forename: Carlie
authors.initials: C
authors.lastname: Hyett
authors.forename: Peter
authors.initials: P
authors.lastname: Barnett
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D002648:Child; D000529:Complementary Therapies / Q000706:statistics & numerical data; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005194:Family Practice / Q000706:statistics & numerical data; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010290:Parents; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010372:Pediatrics / Q000706:statistics & numerical data*; D014739:Victoria