2.50
Hdl Handle:
http://hdl.handle.net/10755/163043
Type:
Presentation
Title:
Pediatric Emergency Department Utilization for Non-Urgent Complaints
Abstract:
Pediatric Emergency Department Utilization for Non-Urgent Complaints
Conference Sponsor:Emergency Nurses Association
Conference Year:2004
Author:Childers, Kimberly, RN, MS, CEN, CPNP
P.I. Institution Name:Texas Children's Hospital
Title:Pediatric Nurse Practitioner
Contact Address:621 Fannin Street, A210/MC 1-1481, Houston, TX, 77030-2399, USA
Contact Telephone:(832) 824-1627
Purpose: Approximately one of four emergency department (ED) visits is a pediatric visit. Data from the
National Center for Health Statistics indicates that between one-third and one-half of these visits are for a
nonurgent complaint. The purpose of this study was to identify reasons for nonurgent ED utilization.
Design: A descriptive design was used.
Setting: This study was conducted in the emergency department of a tertiary children's hospital located in
the southwestern United States. This emergency department experiences approximately 70,000 pediatric
only visits per year.
Sample: The sample consisted of 256 randomly selected English- and Spanish-speaking families who had
visited the urgent care area of the emergency department from May 1 through June 30 of 2002 and had
been identified as having a nonurgent discharge diagnosis code. All patients had health insurance. Thirty-nine
families were interviewed in July 2002.
Methodology: Telephone interviews were conducted in Spanish or English. Parents were asked questions
targeting the following areas: 1) parental/child demographics; 2) past medical care utilization; 3) current illness
experience; and 4) ED experience. Interview questions resulted from a pilot study of the 39 families
who were interviewed. Information from these open-ended questions provided the basis for the telephone
interview, which consisted of 29 multiple-choice questions.
Results: Interviews were conducted in English (84%) and Spanish (16%). Commonly cited reasons for utilization
of the emergency department for nonurgent complaints were: 1) perceived advantages over doctor's
office (26% cited access to specialists in the emergency department and increased time spent with
patient by emergency physician as key); 2) access to care (57% - doctor's office was closed); and 3) limited
knowledge of managed care (50% had been with their health insurance plan for less than one year).
Hispanic parents reported greater value in the ED than Caucasians in this sample. The majority of parents
(94%) reported established relationships with their regular doctors.
Conclusions: Interventions should be aimed at qualifying need for extended hours access, creating an
extended hours network of providers, and putting in place a communication program that would allow
users to identify extended hours care. [Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePediatric Emergency Department Utilization for Non-Urgent Complaintsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/163043-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pediatric Emergency Department Utilization for Non-Urgent Complaints</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Childers, Kimberly, RN, MS, CEN, CPNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Texas Children's Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Pediatric Nurse Practitioner</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">621 Fannin Street, A210/MC 1-1481, Houston, TX, 77030-2399, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(832) 824-1627</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kkchilde@texaschildrenshospital.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Approximately one of four emergency department (ED) visits is a pediatric visit. Data from the<br/>National Center for Health Statistics indicates that between one-third and one-half of these visits are for a<br/>nonurgent complaint. The purpose of this study was to identify reasons for nonurgent ED utilization.<br/>Design: A descriptive design was used.<br/>Setting: This study was conducted in the emergency department of a tertiary children's hospital located in<br/>the southwestern United States. This emergency department experiences approximately 70,000 pediatric<br/>only visits per year.<br/>Sample: The sample consisted of 256 randomly selected English- and Spanish-speaking families who had<br/>visited the urgent care area of the emergency department from May 1 through June 30 of 2002 and had<br/>been identified as having a nonurgent discharge diagnosis code. All patients had health insurance. Thirty-nine<br/>families were interviewed in July 2002.<br/>Methodology: Telephone interviews were conducted in Spanish or English. Parents were asked questions<br/>targeting the following areas: 1) parental/child demographics; 2) past medical care utilization; 3) current illness<br/>experience; and 4) ED experience. Interview questions resulted from a pilot study of the 39 families<br/>who were interviewed. Information from these open-ended questions provided the basis for the telephone<br/>interview, which consisted of 29 multiple-choice questions.<br/>Results: Interviews were conducted in English (84%) and Spanish (16%). Commonly cited reasons for utilization<br/>of the emergency department for nonurgent complaints were: 1) perceived advantages over doctor's<br/>office (26% cited access to specialists in the emergency department and increased time spent with<br/>patient by emergency physician as key); 2) access to care (57% - doctor's office was closed); and 3) limited<br/>knowledge of managed care (50% had been with their health insurance plan for less than one year).<br/>Hispanic parents reported greater value in the ED than Caucasians in this sample. The majority of parents<br/>(94%) reported established relationships with their regular doctors.<br/>Conclusions: Interventions should be aimed at qualifying need for extended hours access, creating an<br/>extended hours network of providers, and putting in place a communication program that would allow<br/>users to identify extended hours care. [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:38:35Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:38:35Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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