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dc.contributor.authorFitzGerald, Gerry
dc.contributor.authorToloo, Ghasem Sam
dc.contributor.authorAitken, Peter
dc.contributor.authorKeijzers, Gerben
dc.contributor.authorScuffham, Paul
dc.date.accessioned2018-10-24T00:48:46Z
dc.date.available2018-10-24T00:48:46Z
dc.date.issued2015
dc.identifier.issn1742-6731
dc.identifier.doi10.1111/1742-6723.12420
dc.identifier.urihttp://hdl.handle.net/10072/140992
dc.description.abstractObjectives To inform demand management strategies aimed at reducing congestion in EDs by: (i) identifying public use of EDs, decision-making and reasons; and (ii) measuring acceptance of alternative care models. Methods A cross-sectional telephone survey of a random sample of Queensland population aged 18 years or older residing in a dwelling unit in Queensland that could be contacted on a land-based telephone service was conducted. One person per household was selected according to a predetermined algorithm to ensure sex and regional balance were interviewed. The main outcome measures were: ED use, attitudes towards ED staff and services, and alternative models of care. Results The final sample included a total of 1256 respondents (response rate = 40.3%). Twenty-one per cent attended EDs in the preceding 12 months. The decision to attend was made by patients (51%), health and medical professionals (31%), and others (18%). The main reasons included perceived severity of the illness (47%), unavailability of alternative services (26%) and better care (11%). Most respondents agreed with more flexible care models of service delivery including incentives for general practitioners (90%), private health insurance coverage for ED use (89%), and enhanced roles for paramedics and nurses. Conclusions Main reason for attending ED is perceived severity of illness, followed by lack of alternative care. The majority of both consumers and the public are in favour of more flexible care models. However, further research is necessary to detail those alternatives and to test and validate their effectiveness.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell Publishing
dc.relation.ispartofpagefrom336
dc.relation.ispartofpageto342
dc.relation.ispartofissue4
dc.relation.ispartofjournalEmergency Medicine Australasia
dc.relation.ispartofvolume27
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode119999
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1117
dc.titlePublic use and perceptions of emergency departments: A population survey
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorScuffham, Paul A.
gro.griffith.authorKeijzers, Gerben


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