Télécharger le rapport (152 p.) - KCE
Télécharger le rapport (152 p.) - KCE
Télécharger le rapport (152 p.) - KCE
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<strong>KCE</strong> reports vol. 19B Urgences 107<br />
AUTHOR, YEAR<br />
COUNTRY<br />
SUCOV, A., 1999<br />
USA<br />
WALLS CA, 2002<br />
USA<br />
WEST TD ET AL, 1997<br />
USA<br />
WOOLFENDEN S ET AL,<br />
2000<br />
AUSTRALIA<br />
YOUNG TL ET AL, 2001<br />
USA<br />
STUDY DESIGN<br />
SAMPLE<br />
SETTING<br />
retrospective 1995-1996<br />
urban university trauma centre<br />
RESULT / CONCLUSION<br />
11 discharge diagnoses (DX11) identified as being Âinappropriate by a third party payer (i.e. chronic<br />
nasopharyngitis; chronic sinusitis; chronic pharyngitis; rhinitis; constipation; head cold;<br />
haemorrhoids; toothache; flu; headache; and tension headache), corresponding to 82 different chief<br />
complaints.<br />
Patients' presenting complaints are incapab<strong>le</strong> of predicting diagnosis or disposition.<br />
Retrospective denial of payment by discharge diagnosis is inappropriate<br />
Cross--sectional 1998 National Health Interview Survey Poverty, lack of insurance, younger age, ma<strong>le</strong> gender, and minority race or ethnicity predicted<br />
identifying the ED as the usual source of care.<br />
Review on archival data<br />
3671 ED patients<br />
university hospital<br />
Qualitative 25 in-depth interviews of parents of children<br />
with non-urgent illness<br />
Difference among emergent, urgent and routine care assessments by triage staff, nurses and<br />
physicians exist.<br />
(<strong>le</strong>ss predictive of nursing acuity then physicians resource-based relative value sca<strong>le</strong> codes)<br />
reducing process variation in patient acuity assessments, improves quality of care whi<strong>le</strong> managing<br />
cost<br />
The parental choice to attend a PED is a dynamic, comp<strong>le</strong>x and unique process and the parental<br />
views that underpin this process often diverge from those of health professionals about the most<br />
'appropriate' use of a PED<br />
Evaluation study Imp<strong>le</strong>mentation of an e<strong>le</strong>mentary SBHC (School-based health centers) resulted in a significant<br />
decrease in non-urgent emergency department visits.