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Related Experiment Videos

Emergency medical care

H Conway

    British Medical Journal
    |August 28, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Most emergency patients self-referred to the hospital, often via ambulance. General practitioners referred fewer patients than self-referrals, especially those not admitted.

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    Area of Science:

    • Emergency Medicine
    • Healthcare Access
    • Patient Referral Systems

    Background:

    • Understanding patient referral pathways is crucial for optimizing emergency medical services.
    • Historical data on emergency patient origins provides insights into healthcare utilization patterns.

    Purpose of the Study:

    • To analyze the modes of referral for emergency medical patients to a district general hospital.
    • To compare referral patterns between patients admitted and not admitted to medical wards.

    Main Methods:

    • A survey conducted over five periods between 1973 and 1975.
    • Data collected on 2511 emergency medical patients at a district general hospital.

    Main Results:

    • 51% of emergency patients self-referred, 40.8% were referred by general practitioners, and 4.7% by emergency treatment service doctors.

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  • Among admitted patients, 50.9% were referred by general practitioners and 37.3% self-referred.
  • Of patients not admitted, 80.7% were self-referred and 19% referred by general practitioners.
  • Two-thirds of self-referred patients arrived from home, often via ambulance using emergency calls.

    • Conclusions:

    • Self-referral was the predominant mode of access for emergency patients, particularly for those not admitted.
    • General practitioner referrals were more common for patients subsequently admitted to medical wards.
    • Ambulance use via emergency calls was a significant factor in self-referrals from home.