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Delay in seeking emergency care.

D Rucker1, T Brennan, H Burstin

  • 1Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|February 7, 2001
PubMed
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Patient characteristics like age, illness severity, and access to a regular physician influence decisions to delay seeking emergency department (ED) care. Understanding these factors can help reduce delays.

Area of Science:

  • Emergency Medicine
  • Health Services Research
  • Patient Behavior

Background:

  • Patient delay in seeking emergency department (ED) care is a significant issue.
  • Understanding predictors of this delay is crucial for timely healthcare access.

Purpose of the Study:

  • To identify clinical and socioeconomic factors predicting patient delay in accessing the emergency department (ED).

Main Methods:

  • Surveyed 1,920 adult patients across five urban teaching hospitals regarding self-reported ED care delay.
  • Collected patient data through questionnaires and chart reviews.
  • Performed cross-sectional analysis within a prospective study.

Main Results:

  • 32% of patients reported delaying ED care, often believing their condition was not serious.

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  • Older patients, those with higher acuity, and frequent ED users reported less delay.
  • Patients lacking a regular physician or identifying as African American reported more delay.
  • Conclusions:

    • Patient delay in ED care is linked to beliefs about illness severity and physician access.
    • Identifying at-risk patients can inform interventions to mitigate care delays.
    • Delay predictors may vary based on the specific measure of delay used.