[Exploring Patient Motives to Use Emergency Departments for Non-urgent Conditions: A Qualitative Study].
Background:The increasing utilization of Emergency Departments (ED) by outpatients with acute but non-urgent conditions contributes to ED crowding. This study aims to explore the motives of patients categorized as non-urgent for visiting the ED.Methods:A qualitative study based on semi-structured interviews was conducted at 2 ED's at Charité Berlin. A total of 40 patients categorized as non-urgent were interviewed. Data were analyzed using Qualitative Content Analysis.Results:In addition to unavailable appointments or having to wait a long time for an appointment with general practitioners and specialists, patients stated better time-flexibility, the University Hospital's quality of care and the availability of multidisciplinary care as reasons to seek medical care in the ED. Because of the 24/7 availability of EDs, some patients seem to make little effort to seek an appointment with a GP or a specialist outside the hospital.Conclusion:Our interview data indicate an independent function of EDs in outpatient care. It must be assumed that even a full coverage of service guarantee by the association of statuary health insurance physicians would not reduce ED utilization to cases of medical urgency only. To ensure sustainable medical quality for urgent as well as non-urgent medical care seekers, EDs need appropriate resources to cover the demand.
Arbeitsbereich Rettungsstellen/Notfallmedizin, Charité Universitätsmedizin, Berlin.
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Schmiedhofer
Arbeitsbereich Rettungsstellen/Notfallmedizin, Charité Universitätsmedizin, Berlin.
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Searle
Arbeitsbereich Rettungsstellen/Notfallmedizin, Charité Universitätsmedizin, Berlin.
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A
Slagman
Arbeitsbereich Rettungsstellen/Notfallmedizin, Charité Universitätsmedizin, Berlin.
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Möckel
D000293:Adolescent; D000328:Adult; D000368:Aged; D001071:Appointments and Schedules; D001604:Berlin; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010819:Physician's Role; D036301:Qualitative Research; D014600:Utilization Review / Q000706:statistics & numerical data; D014850:Waiting Lists; D055815:Young Adult