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Use of home visiting GP services by paediatric patients presenting at emergency departments

Amy R Allen, Erin Turbitt, Gary L Freed

    Australian Family Physician
    |April 8, 2016
    PubMed

    Insights

    Few Australian children with low-urgency conditions see a home-visiting general practitioner (GP) before visiting an emergency department (ED). Many who do contact a GP service are still advised to go to the ED.

    Area of Science:

    • Pediatric emergency medicine
    • General practice
    • Healthcare access

    Background:

    • Children in Australia rarely receive general practitioner (GP) home visits.
    • Emergency department (ED) use for lower urgency pediatric conditions is common.

    Purpose of the Study:

    • To investigate if parents of children with lower urgency conditions presenting to the ED had previously contacted a home-visiting GP.
    • To understand the role of home-visiting GP services in pediatric emergency care.

    Main Methods:

    • 1150 parents of children aged 9 years or younger were surveyed.
    • Participants presented with lower urgency conditions (triage category 4 or 5) to metropolitan Melbourne EDs.
    • Data collected via electronic surveys.

    Main Results:

    • Only 7% of parents (83/1150) contacted a home-visiting GP service.
    • Just 26 parents received a home visit.
    • A significant proportion of parents, whether they received a visit or not, were advised by the GP service to attend the ED.

    Conclusions:

    • Home-visiting GP services are infrequently utilized by parents of children with lower urgency conditions presenting to EDs.
    • Home-visiting GP services play a role in directing some low-urgency pediatric cases to the ED.
    Abstract

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