Regular source of ambulatory care and medical care utilization by patients presenting to a public hospital emergency department

JAMA ◽  
1994 ◽  
Vol 271 (24) ◽  
pp. 1909-1912 ◽  
Author(s):  
D. W. Baker
1999 ◽  
Vol 15 (1) ◽  
pp. 13-16 ◽  
Author(s):  
DONNA S. JONES ◽  
SALLY E. McNAGNY ◽  
MARK V. WILLIAMS ◽  
RUTH M. PARKER ◽  
MARY F. SAWYER ◽  
...  

2004 ◽  
Vol 32 (1) ◽  
pp. 113-116 ◽  
Author(s):  
Chris Dunn ◽  
RoseAnne M. Droesch ◽  
Brian D. Johnston ◽  
Frederick P. Rivara

This paper reports the process outcomes of a randomized trial of a one-session Motivational Interviewing (MI) intervention conducted with youth (12–20 years) in a hospital emergency department (ED) while undergoing medical care for an injury. The interventions targeted six behaviors placing youths at high risk for injury. Those youth whose counselors perceived their readiness to increase between the start and end of the MI session were 4.5 times more likely to have improved their use of seat belts 6 months later compared with youth who were not perceived to have increased in readiness during the session.


1980 ◽  
Vol 8 (3) ◽  
pp. 149-156 ◽  
Author(s):  
Gudjon Magnusson

The role of hospital emergency departments has gradually changed, particularly in large urban areas, where these departments have increasingly become outpatient clinics for everyday ailments rather than centres for the treatment of injuries and emergencies. The main objectives for the present study were: (1) to compare the utilization of district general practitioners and the hospital emergency department by a defined population; (2) estimate how many of the visits to the hospital emergency department are general practitioner-type visits. The results demonstrate the pattern of medical care usage in an area with hospital emergency department services which provide a 24-hour availability and open access, while the primary care services are available only during office hours, are understaffed and have limited access. The study is based on a 1/30 sample (1032 individuals) from the population in the catchment area of a health centre in Stockholm. During the study period (15 months) 30% of the population visited the hospital emergency department, while 15% consulted district general practitioners. Of the visits to the hospital emergency department, 17 per cent were for injuries and between 39 and 64% were general practice-type visits, according to the criteria used in the study.


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