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100 Urgences KCE reports vol. 19B
AUTHOR, YEAR
COUNTRY
CAMPBELL JL, 1999
UK
COLEMAN P ET AL, 2001
UK
COOKE MW ET AL,
1999
UK
DARKAOUI ET AL, 1999
MOROCCO
DESALVO A ET AL, 2000
USA
STUDY DESIGN
SAMPLE
SETTING
RESULT / CONCLUSION
Cross-sectional 4999 patients Whilst socio-economic deprivation was a significant determinant of perceptions of medical urgency,
the effect was small and can probably be discounted as an important variable determining such
perceptions. An association was observed between patients' perceptions of doctor availability
following a non-urgent consultation request and a heightened sense of medical urgency.
Cross-sectional Questionnaire and note review 7 weeks
267 adults A&E triaged to the 2 lowest priority
treatment streams
Taking into account the objective suitability of the health problem to be treated elsewhere, and the
reasons for attending A&E given by the patients, it is estimated that, with similar health problems,
as few as 7% (95% CI 3%,10%) of the non-urgent A&E population may be expected to present to
providers other than A&E in the future
Cross-sectional Manchester triage system (category 1 or 2 to be seen within 10 minutes) is a sensitive tool for
detecting those who need critical care not possible to calculate specificity
Cross-sectioanl 1 week
Survey +
intervention
1544 children
18% of children used emergency in a appropriate way
no association with gender.
It is difficult to change patient behaviour to fit the demands of the health care system. Possibly, it
would be better to change the system to fit the behaviour patterns of the patients.