International Emergency Nursing Vol. 52 September 2020
Use Andersen’s behavior model to explain non-urgent visits in emergency department: A single center study in southwest China
Dublin Core
Title
International Emergency Nursing Vol. 52 September 2020
Use Andersen’s behavior model to explain non-urgent visits in emergency department: A single center study in southwest China
Use Andersen’s behavior model to explain non-urgent visits in emergency department: A single center study in southwest China
Subject
Emergency department, Emergency overcrowding, Non-urgent, Health service use, Emergency care
Description
Background: Non-urgent ED visit was an important contributor of emergency overcrowding. Previous studies showed that patients make non-urgent ED visits for many reasons and their ED use patterns may be influenced by many factors. However, seldom studies were theory-based research aimed to offer a systemic insight regarding this question.
Methods: This was a cross-sectional study conducted in the ED of a tertiary hospital in China guided by Andersen’s behavior model of health service use. Patients triaged as non-urgent were surveyed using a self-
administrated questionnaire to investigate the reasons for ED presentation and associated factors influenced their ED use patterns.
Results: Perceived severity of illness and urgent treatment need (374, 68.6%), accessible problems to alternative services (144, 26.4%) and referral by medical staffs (134, 24.6%) were most commonly reported reasons for ED presentation. Alternative service attempt before ED presentation was determined by two predisposing factors: education level (OR = 0.638, P < 0.05) and use of nearest medical institution (OR = 1.588, P < 0.05). Prior non-urgent ED use was explained by both predisposing and need factors. They were: nationality (OR = 3.057, P < 0.01), type of health problems (OR = 1.641, P < 0.01) and self-rated health status (OR = 0.769, P < 0.01).
Conclusion: Patients’ perceived need of emergency care played an extremely important role in driving ED use although several factors were identified. Future studies aim to decrease non-urgent ED use in China may firstly gain success from patient education programs.
Methods: This was a cross-sectional study conducted in the ED of a tertiary hospital in China guided by Andersen’s behavior model of health service use. Patients triaged as non-urgent were surveyed using a self-
administrated questionnaire to investigate the reasons for ED presentation and associated factors influenced their ED use patterns.
Results: Perceived severity of illness and urgent treatment need (374, 68.6%), accessible problems to alternative services (144, 26.4%) and referral by medical staffs (134, 24.6%) were most commonly reported reasons for ED presentation. Alternative service attempt before ED presentation was determined by two predisposing factors: education level (OR = 0.638, P < 0.05) and use of nearest medical institution (OR = 1.588, P < 0.05). Prior non-urgent ED use was explained by both predisposing and need factors. They were: nationality (OR = 3.057, P < 0.01), type of health problems (OR = 1.641, P < 0.01) and self-rated health status (OR = 0.769, P < 0.01).
Conclusion: Patients’ perceived need of emergency care played an extremely important role in driving ED use although several factors were identified. Future studies aim to decrease non-urgent ED use in China may firstly gain success from patient education programs.
Creator
Lingjun Jiang, Lei Ye, Min Dai, Jing Zhou, Qin Li
Publisher
Elsevier Ltd.
Date
September 2020
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 52 September 2020
Files
Citation
Lingjun Jiang, Lei Ye, Min Dai, Jing Zhou, Qin Li, “International Emergency Nursing Vol. 52 September 2020
Use Andersen’s behavior model to explain non-urgent visits in emergency department: A single center study in southwest China,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1577.
Use Andersen’s behavior model to explain non-urgent visits in emergency department: A single center study in southwest China,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1577.