Public use and perceptions of emergency departments: A population survey
FitzGerald, Gerry, Toloo, Ghasem (Sam), Aitken, Peter, Keijzers, Gerben, & Scuffham, Paul (2015) Public use and perceptions of emergency departments: A population survey. Emergency Medicine Australasia, 27(4), pp. 336-342.
To inform demand management strategies aimed at reducing congestion in EDs by: (i) identifying public use of EDs, decision-making and reasons; and (ii) measuring acceptance of alternative care models.
A cross-sectional telephone survey of a random sample of Queensland population aged 18 years or older residing in a dwelling unit in Queensland that could be contacted on a land-based telephone service was conducted. One person per household was selected according to a predetermined algorithm to ensure sex and regional balance were interviewed. The main outcome measures were: ED use, attitudes towards ED staff and services, and alternative models of care.
The final sample included a total of 1256 respondents (response rate = 40.3%). Twenty-one per cent attended EDs in the preceding 12 months. The decision to attend was made by patients (51%), health and medical professionals (31%), and others (18%). The main reasons included perceived severity of the illness (47%), unavailability of alternative services (26%) and better care (11%). Most respondents agreed with more flexible care models of service delivery including incentives for general practitioners (90%), private health insurance coverage for ED use (89%), and enhanced roles for paramedics and nurses.
Main reason for attending ED is perceived severity of illness, followed by lack of alternative care. The majority of both consumers and the public are in favour of more flexible care models. However, further research is necessary to detail those alternatives and to test and validate their effectiveness.
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|Item Type:||Journal Article|
|Keywords:||demand, emergency department, model of care, population survey, public perspective|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health and Community Services (111708)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health Care Administration (111709)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Public Health and Health Services not elsewhere classified (111799)
Australian and New Zealand Standard Research Classification > STUDIES IN HUMAN SOCIETY (160000) > POLICY AND ADMINISTRATION (160500) > Health Policy (160508)
|Divisions:||Current > Research Centres > Centre for Emergency & Disaster Management
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
|Copyright Owner:||Copyright 2015 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine|
|Copyright Statement:||This is the peer reviewed version of the following article: FitzGerald, G., Toloo, G., Aitken, P., Keijzers, G. and Scuffham, P. (2015), Public use and perceptions of emergency departments: A population survey. Emergency Medicine Australasia, 27: 336–342, which has been published in final form at http://dx.doi.org/10.1111/1742-6723.12420. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.|
|Deposited On:||14 Jul 2015 00:00|
|Last Modified:||17 Oct 2016 20:25|
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