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Parental use of a paediatric emergency department as an ambulatory care service

S Woolfenden1, J Ritchie, R Hanson

  • 1New Children's Hospital, New South Wales.

Australian and New Zealand Journal of Public Health
|May 3, 2000
PubMed

Insights

Parents often choose tertiary pediatric emergency departments (PEDs) for non-urgent illnesses based on perceived expertise and access, diverging from health professional views. Understanding these parental choices is key for better collaboration.

Area of Science:

  • Pediatric Emergency Medicine
  • Qualitative Health Research
  • Healthcare Access and Utilization

Background:

  • Tertiary pediatric emergency departments (PEDs) are often utilized for non-urgent childhood illnesses.
  • Parental decision-making regarding healthcare services is complex and multifactorial.

Purpose of the Study:

  • To explore parental attitudes, perceptions, and beliefs influencing the use of tertiary PEDs for non-urgent pediatric conditions.

Main Methods:

  • Qualitative study employing semi-structured, in-depth interviews with 25 parents.
  • Interviews were conducted in the waiting room of a tertiary PED.
  • Inductive analysis was used to identify dominant themes in parental decision-making.

Main Results:

  • Parents utilize an informal triage system to select healthcare services for their children.
  • Perceived expertise of the tertiary PED, accessibility, and parental expectations significantly influence service choice.
  • Parental decision-making processes for PED use are dynamic and unique.

Conclusions:

  • Parental views on appropriate PED use often differ from those of healthcare professionals.
  • Understanding parental factors influencing PED choice is crucial for effective collaboration.
  • Improved understanding can lead to better-aligned management decisions for sick children.
Abstract

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