Patients?? Priorities for Medical Care

Fletcher, Robert H.; O’Malley, Michael S.; Earp, Jo Anne; Littleton, Tenesha; Fletcher, Susan; Greganti, M. Andrew; Davidson, Richard; Taylor, Jasmine

doi:10.1097/00005650-198302000-00010

Cited by 79 publications

(35 citation statements)

References 15 publications

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“…[13] Many departments nationwide have implemented other strategies such as "Fast Track" or "Express Care" programs to accommodate the growing number of non-emergent visits, but as of date, no substantial studies have investigated the effects of such programs on the overall quality of patient care. [20] There are limitations to this study. First, this is a single center study with a small sample size, conducted over a limited time frame.…”

Section: Discussionmentioning

confidence: 90%

Emergency department visits: Why adults choose the emergency room over a primary care physician visit during regular office hours?

Rocovich¹,

Patel²

2012

World Journal of Emergency Medicine

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BACKGROUND: It has been estimated that up to one third of all emergency department (ED) visits may be "inappropriate" or non-emergent. Factors that have been speculated to be associated with non-emergent use have been noted to include low socioeconomic status, lack of access to primary care, lack of insurance, convenience of "on demand care" and the patient's individual perception of their complaint urgency. The objective of this study is to identify the reasons contributing to self-perceived non-emergent adult emergency department visits during primary care physician offi ce hours of operation. METHODS:This study was a single-center, descriptive study with questionnaire. The questionnaire was collected from patients meeting exclusion/inclusion criteria who were triaged into an acute or fast track part of the emergency department during regular business hours on Monday through Friday, 8:00 am-5:00 pm during the months of July 2011 and August 2011. Questionnaire data were categorical and summarized using counts and percentages. Data collected included patient demographics, information about the patient's primary care provider, and information about the emergency department visit in question. All responses were compared among patients with visits considered to be non-emergent to those considered to be emergent by using individual chi-square tests.RESULTS: There were 262 patients available for the study. The patients were grouped according to their perception of the severity of their complaints. Roughly half of the patients placed themselves into the non-emergent category (n=129), whereas the other half of the patients categorized themselves into the emergent group (n=131). There were statistically signifi cant differences in marital status and employment status between the two groups. It was found that 61.5% of the non-emergent patients were single, while 58.3% of the emergent patients were married. In the non-emergent group, 59.7% were unemployed, but in the emergent group 60.3% were employed (P<0.05). However, no other factors were signifi cantly different. CONCLUSIONS:Our study did not identify a statistically significant factor to the reasoning behind why patients choose the emergency department over a primary care physician during regular office hours. The only significant demographic indicating who was more likely to make this choice during the specified time frame was being single and employed with perceived non-emergent complaint. Patients without insurance and/or without a primary care physician were no more likely to visit the emergency department with a self-perceived non-emergent issue than patients with insurance and/or with an established primary care physician.

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Section: Discussionmentioning

confidence: 90%

Emergency department visits: Why adults choose the emergency room over a primary care physician visit during regular office hours?

Rocovich¹,

Patel²

2012

World Journal of Emergency Medicine

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“…To identify the requirements of medical service quality, this study examined medical service quality literature for Taiwan and abroad (Fisher 1971;Fletcher et al, 1983; O'Connor et al, 1991; Linn et al, 1984) and collected relevant information before classifying service quality requirements into five categories via expert knowledge. The five categories of service quality requirements are environment and equipment, hospital internal administrative efficiency and attitudes of personnel, hospital external communication, care service outcomes, and additional services.…”

Section: Service Requirements Planmentioning

confidence: 99%

Systematic Approach for Improving Medical Service Quality, International Journal of Economics

Yang¹

2013

IJEFM

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Abstract:The purpose of this research is to discuss the characteristics of medical services quality in the hospital institutions. This study discusses the characteristics of medical services quality in the hospital institutions, combining the analysis of services quality deficiency and investigation then figuring out the method of improvements to focus on service deficiency. This research applied three kinds of technologies: The service quality questionnaire surveys, the gap model analysis and the quality function deployment (QFD). The result of investigating service quality shows three major key elements for im-provement: the hospital interior administration information efficiency and the personnel manner look after the service and the result and the hospital exterior communication. In the improvement plan, the customer opinion survey form provide and the recycling improvement, doctor specialty discussing, medical care personnel's soft training, the hospital bed specified number of personnel ratio are the most important item to be improved. In action plan, four most important departments are human resources room, laborer safety clinic, information room and quality control center.

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“…23 In addition, patients rank continuity as a high priority in their medical care. 24,25 Continuity is usually conceptualized as something that occurs for an individual patient, ie, the extent to which an individual patient sees the same health care provider or team. However, health care also occurs in the context of the family.…”

mentioning

confidence: 99%

The Association of Family Continuity with Infant Health Service Use

Clark¹,

Saultz

Buckley

et al. 2008

The Journal of the American Board of Family Medicine

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Purpose: Continuity of care is a fundamental component of family medicine that has been shown to improve health care quality. Family continuity, when different family members are seen by the same clinician or practice, has not been well studied.Methods: We performed a retrospective cohort study of Medicaid enrollees in Oregon using administrative data. Infants were determined to have family continuity if they received well-baby care at the same clinic as that in which their mothers received prenatal care.Results

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Patients?? Priorities for Medical Care

Cited by 79 publications

References 15 publications

Emergency department visits: Why adults choose the emergency room over a primary care physician visit during regular office hours?

Emergency department visits: Why adults choose the emergency room over a primary care physician visit during regular office hours?

Systematic Approach for Improving Medical Service Quality, International Journal of Economics

The Association of Family Continuity with Infant Health Service Use

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