Author, Subjects, Keywords

Cited Author

 
 
   » By Author or Editor
 » Browse Author by Alphabet
 » By Journal
 » By Subjects
 » Malaysian Journals
 » By Type
 » By Year
 » By Latest Additions
 
 
   » By Author
 » Top 20 Authors
 » Top 20 Article
 » Top Journal Cited
 » Top Article Cited
 » Journal Citation Statistics
 » Usage Since Sept 2007


 
 
 

Login | Create Account

Factors Associated with Inappropriate Utilisation of Emergency Department Services

Selasawati, H.G., and Naing, L., and Wan Aasim W.A., and Winn, T., and Rusli, B.N., (2007) Factors Associated with Inappropriate Utilisation of Emergency Department Services. Asia Pacific Journal of Public Health, 19 (2). pp. 29-36. ISSN 1-800-818-7243

Full text not available from this repository.

Official URL: http://aph.sagepub.com/cgi/content/abstract/19/2/29

Affiliations

Universiti Sains Malaysia. School of Medical Sciences. Dept. of Community Medicine
Universiti Sains Malaysia. School of Dental Sciences
Hospital Universiti Sains Malaysia. Emergency Dept.
Universiti Sains Malaysia. School of Medical Sciences. Dept. of Community Medicine
Universiti Sains Malaysia. School of Dental Sciences

Abstract

This study was carried out to determine the associated factors and the reasons for inappropriate utilisation of Emergency Department (ED) services at Universiti Sains Malaysia Hospital. A case-control study was conducted with 170 cases from ED and 170 controls from the Outpatient Department (OPD). A self-administered questionnaire was designed and used to obtain sociodemographic data, knowledge on the functions of ED and OPD, health seeking attitude and behaviour, and reasons for seeking treatment at ED. The study found that gender, marital status, family size, shift work, perceived illness, and knowledge on the role and functions of ED and OPD were significant associated factors. The three most common reasons for inappropriate utilisation of ED were as follows: "due to severity of illness" (85%), "can't go to OPD during office hours" (42%), and "ED near my house" (27%).

Item Type:Journal
Additional Information:We wish to thank the Universiti Sains Malaysia for providing the short-term research grant (Grant No. 304/ppsp/(6131173) to support this study.
Keywords:Emergency department, inappropriate utilisation, OPD services, perceived illness, university hospital
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:4730

1. Liggins K. Inappropriate attendance at accident and emergency departments: a literature review. J Adv Nurs 1993; 18: 1141-5.

2. Adam L, Kohler B, Nichol J. Attendance at accident and emergency department: Unnecessary and inappropriate? J Public Health Med 1994; 16(2): 134-40.

3. Derlet R, Kinser D, Ray L, Hamilton B, Mckenze J. Prospective identification and triage of non-emergency patients out of an emergency department. Ann Emerg Med 1995; 25: 215-23.

4. Afilalo M, Guttman A, Colacone A, Dankoff J, Tselios C, Beaudet M. Emergency department use and misuse. J Emerg Med 1995;13: 259-64.

5. Siddiqui S, Ogbeide DO. Utilization of emergency services in a community hospital. Saudi Med J 2002; 23(1): 69-72.

6. Grumbach K, Keane D, Bindman. Primary care and public emergency department overcrowding. Am J Public Health 1993; 83: 372-8.

7. Buesching D, Jablonowaki A, Vesta E. Inappropriate emergency department visits. Ann Emerg Med 1985; 14: 672-6.

8. Davies T. Accident department or general practice? BMJ 1986; 292:241-3.

9. Selasawati H.G., Naing L., Wan Aasim W.A., Winn, T., Rusli B.N. Inappropriateness utilization of Emergency Department Services in Universiti Sains Malaysia Hospital. Medical Journal of Malaysia 2004;59: 26-33.

10. Dupont WD, Plummer WD. “Power and sample size calculations: A review and computer program”. Control Clin Trials 1990; 11: 116-28.

11. Dale J, Green J, Glucksman E, Fiona R. Primary care in accident and emergency department: II Comparison of general practitioners and hospital doctors. BMJ 1995; 311: 427-30.

12. Asaari AH. Bijak guna jabatan kecemasan. Wanita, 2002; September: 102-3.

13. Azhar AA. Salah guna jabatan kecemasan. Mingguan Malaysia 2001; 18: 21.

14. American College of Emergency Physician (1993). Report on Preparedness of the Emergency Department for the Care of Children. Available at http://acep.org/3,2854,0.htm. Assessed on 13 March 2003.

15. Sackett DL, Haynes RB, Guyatt G, Tugwell P. Clinical Epidemiology: A Basic Science for Clinical Medicine. 2nd ed. Boston: Little, Brown, 1994: 29-30.

16. StataCorp. Stata Statistical Software: Release 7.0. College Station, Texas: Stata Press, 2001.

17. Hosmer DW, Lemeshow S. Applied Logistic Regression (Second Edition). New York: John Wiley & Sons,2002:91-186.

18. Chande V, Wyss N, Exum V. Educational interventions to alter pediatric emergency department utilization patterns. Arch Intern Med 1996; 150: 525-8.

19. Gill J, Riley A. Non-urgent use of hospital emergency departments: Urgency from the patient’s perspective. J Fam Pract 1996;42: 491-6.

20. Steel J. Inappropriate- the patient or the services? Accid Emerg Nurs 1995; 3(3): 146-9.

Repository Staff Only: item control page
 
 
 
 
 
 
© Copyright 2007 MyAIS Faculty of Computer Science and Information Technology, University of Malaya – All Rights Reserved. Malaysian Abstracting and Indexing System is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.