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Factors associated with frequent users in hospital paediatric emergency departments: A single centre study in Spain

Néstor Montoro-Pérez1, Raimunda Montejano-Lozoya2, Silvia Escribano3

  • 1Department of Nursing, Faculty of Health Sciences, Person-centred Care and Health Outcomes Innovation Group, University of Alicante, San Vicente del Raspeig, Spain; GREIACC research group, La Fe Health Research Institute, Valencia, Spain.

International Emergency Nursing
|September 15, 2023
PubMed

Insights

Frequent use of paediatric emergency departments (PEDs) in Spain is linked to perceived urgency and belief in superior care compared to primary care. Interventions should educate parents on symptom interpretation and care pathways.

Area of Science:

  • Pediatric Emergency Medicine
  • Healthcare Utilization Studies

Background:

  • Rising demand for pediatric emergency departments (PEDs) necessitates understanding usage patterns.
  • Limited research exists on factors influencing PED use in pediatric populations, particularly in Spain.

Purpose of the Study:

  • To identify factors associated with frequent use of pediatric emergency departments (PEDs) in Spain.

Main Methods:

  • A descriptive, cross-sectional study was conducted.
  • Data collected from 530 participants at a Spanish referral hospital between September 2021 and December 2022.

Main Results:

  • 12.07% of participants were identified as frequent users.
  • Perceived urgency (OR=10.209) and belief in superior PED care (OR=2.664) were directly associated with frequent use.
  • Secondary education showed an indirect association (OR=0.282).

Conclusions:

  • Frequent PED use in Spain aligns with international trends.
  • Health interventions should focus on improving parents' symptom interpretation skills and knowledge of primary care referral pathways.
Abstract

Keywords:
Emergency departmentEmergency overcrowdingHealth services abusePediatrics

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