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Sources and content of advice sought by parents/guardians prior to emergency department attendance

Scott McNeil1, Nikita Goyal2, Mandy Parr3

  • 1Monash Emergency Research Collaborative, Clinical Sciences at Monash Health, Clayton, Victoria, Australia.

Emergency Medicine Australasia : EMA
|October 21, 2024
PubMed

Insights

Most parents sought advice before their child visited the emergency department (ED), primarily from general practitioners. Recommendations often advised immediate ED attendance or seeking care if the child

Area of Science:

  • Pediatric Emergency Medicine
  • Health Services Research
  • Parental Health Behavior

Background:

  • Parents/guardians frequently seek advice before attending pediatric emergency departments (EDs).
  • Understanding advice sources and recommendations is crucial for optimizing pre-ED care pathways.

Purpose of the Study:

  • To identify the sources of advice parents/guardians utilize before bringing a child to the ED.
  • To characterize the recommendations provided to parents/guardians regarding pediatric ED visits.

Main Methods:

  • Prospective observational study conducted in two tertiary pediatric EDs.
  • Surveys administered to parents/guardians attending the ED over a one-week period.
  • Analysis of advice sources and specific recommendations received prior to ED attendance.

Main Results:

  • 65% of surveyed parents/guardians received advice before attending the ED.
  • General practice consultations were the most common advice source (49%), followed by friends/family (13.5%) and NURSE-ON-CALL (11%).
  • The majority of recommendations (54%) advised immediate ED attendance, with 12% suggesting attendance if the child's condition worsened.

Conclusions:

  • Most parents/guardians consult a single source for advice before pediatric ED visits.
  • General practitioners are the primary source of pre-ED advice.
  • Recommendations commonly direct parents to seek immediate ED care or monitor for worsening symptoms.
Abstract

Keywords:
general practitionerpaediatric emergency departmentprimary carereferral

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