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KCE reports vol. 19B Urgences 103
AUTHOR, YEAR
COUNTRY
LAFRANCE M ET AL,
2002
CANADA
LANG T ET AL, 1996
FRANCE
LEDUC N ET AL, 2004
CANADA
LEE A. ET AL, 2000
HONG KONG
STUDY DESIGN
SAMPLE
SETTING
RESULT / CONCLUSION
Cross-sectional 850 interviewed patients Info-Santé telephone Service
Cross-sectionnal 2 hospital
patients (15y +) from
Multicenter study 2410 patients
40 randomly selected period of 12 hours
Awareness of the service was found to be dependent on age, sex, income, the use of walk-in CLSC
medical services, the availability of a regular source of health care and the perception of one's
health status
Non-urgent use of the emergency department was observed in about one third of the visits.
Groups using the department for primary care and/or non-urgent care were mostly young and
socially fragile, with no regular source of health care.
20 recently immigrated family Utilization of primary healthcare services progressively changes over time, evolving from the ad hoc
use of walk-in services to the adoption of regular sources of care.
randomly selected
4 A&E
telephone interview
Reasons for not attending a private GP included closure of clinic, deterioration of symptoms, GPs'
inability to diagnose properly, and patients' wish to continue medical treatment in the same
hospital. Reasons why non-urgent patients did not choose to attend the nearby public GOPC
included affordability, closure of the GOPC, patients' wish to continue treatment at the same
hospital, GOPC too far away, no improvement shown after visits to GOPC doctors, and GOPC
doctors' inability to make proper diagnoses.