Why do patients with minor complaints choose emergency departments and does satisfaction with primary care services influence their decisions?

Akpinar, Yakup; Demirci, Hakan; Budak, Ersin; Baran, Ayse; Candar, Ali; Ocakoğlu, Gökhan

doi:10.1017/s1463423617000822

Cited by 5 publications

(5 citation statements)

References 20 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…18 Similar findings were reported in Turkey and Iran. 13,16 This study reported that organizational barriers were the most common barriers toward visiting PHCs. Organizational barriers included cleanliness, lack of preventive services and difficulty in obtaining referrals.…”

Section: Discussionmentioning

confidence: 92%

“… 1 In Turkey, the mean patients’ satisfaction with family physician offices was reported to be 68.1%. 13 In Lebanon, it was reported that 60.23% and 36.43% of patients were satisfied and very satisfied, respectively, with the services provided in PHCs. 14 Different study settings and methodologies could explain the differences between the findings from the current study and other international and Saudi studies which revealed that patients’ satisfaction with PHCs was ranging from 75% and above.…”

Section: Discussionmentioning

confidence: 98%

“…18 Similar findings were reported in Turkey and Iran. 13 , 16 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Perceived Barriers to Primary Care Services Utilization and its Associations with Overall Satisfaction of Patients in Saudi Arabia: A Cross-Sectional Questionnaire-Based Study

AlOmar

AlShamlan

AlAmer

et al. 2021

J Prim Care Community Health

View full text Add to dashboard Cite

Introduction: Primary care plays an integral role in modern healthcare systems. More so in a country that is currently undergoing a reform of its health system. Their remains barriers that hinder patients from seeking medical assistance from primary physicians. This study aims to examine the overall satisfaction of patients toward Primary Healthcare Centers (PHCs) in Saudi Arabia, as well as its association with potential barriers from a sample of patients who presented at the emergency department (ED) for non-urgent cases. Methods: This cross-sectional study sampled 403 patients from King Fahd Hospital of the University. A piloted questionnaire was utilized that included questions on sociodemographics, satisfaction of PHCs, as well as organizational, socioeconomic, access, and patient-doctor relationship barriers using a Likert-scale item response. Chi-squared and Fisher’s Exact tests were used to compare categorical variables, and multivariable logistic regression was used to assess the association between overall satisfaction and all factors and barriers. Results: The sample consisted of 48.1% males and 51.9% females. Only 5.2% of the patients were hospitalized. Of the total sample, 28.3% reported being always satisfied with PHC services. The most reported barriers were organizational barriers and socioeconomic barriers. The regression analysis found that being a female, highly educated, have high organizational, and patient-doctor relationship were independent predictors for low overall satisfaction with PHCs. Conclusion: Findings from this study should allow healthcare planners and policy makers to reduce the impact of these barriers by finding solutions that would target them. This may include strictly implementing policies such as proper implementing of triaging in EDs as well as promoting services that are being provided free of charge at these centers.

show abstract

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Perceived Barriers to Primary Care Services Utilization and its Associations with Overall Satisfaction of Patients in Saudi Arabia: A Cross-Sectional Questionnaire-Based Study

AlOmar

AlShamlan

AlAmer

et al. 2021

J Prim Care Community Health

View full text Add to dashboard Cite

show abstract

“…Emergency departments receive more visits than any other clinical branches do in our country (Turkiye). [ 1 ] The leading causes may include expectation for faster health service access, immediate treatment in emergency room, faster access to laboratory and radiological examinations, and access to a variety of specialists other than those of emergency medicine. [ 2 , 3 ] However, this may also bring excessive burden for diagnostic and therapeutic workforce.…”

Section: Introductionmentioning

confidence: 99%

Pulmonary Physician Consultancy in Emergency Services in Turkiye (PuPCEST) – a cross-sectional multicenter study

Erçen Diken,

Kaya,

Bektaş Aksoy

et al. 2024

Medicine

View full text Add to dashboard Cite

Pulmonology is one of the branches that frequently receive consultation requests from the emergency department. Pulmonology consultation (PC) is requested from almost all clinical branches due to the diagnosis and treatment of any respiratory condition, preoperative evaluation, or postoperative pulmonary problems. The aim of our study was to describe the profile of the pulmonology consultations received from emergency departments in Turkiye. A total of 32 centers from Turkiye (the PuPCEST Study Group) were included to the study. The demographic, clinical, laboratory and radiological data of the consulted cases were examined. The final result of the consultation and the justification of the consultation by the consulting pulmonologist were recorded. We identified 1712 patients, 64% of which applied to the emergency department by themselves and 41.4% were women. Eighty-five percent of the patients had a previously diagnosed disease. Dyspnea was the reason for consultation in 34.7% of the cases. The leading radiological finding was consolidation (13%). Exacerbation of preexisting lung disease was present in 39% of patients. The most commonly established diagnoses by pulmonologists were chronic obstructive pulmonary disease (19%) and pneumonia (12%). While 35% of the patients were discharged, 35% were interned into the chest diseases ward. The majority of patients were hospitalized and treated conservatively. It may be suggested that most of the applications would be evaluated in the pulmonology outpatient clinic which may result in a decrease in emergency department visits/consultations. Thus, improvements in the reorganization of the pulmonology outpatient clinics and follow-up visits may positively contribute emergency admission rates.

show abstract

“…In the article by Akpinar et al (2017), the name of a hospital was mistakenly listed as “XXXXX” in the abstract. The authors and the publishers would like to apologies for this mistake.…”

mentioning

confidence: 99%