ArticleBMC family practice2010
Out of hours care: a profile analysis of patients attending the emergency department and the general practitioner on call.
Article in BMC family practice, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Reducing inappropriate accident and emergency department attendances: a systematic review of primary care service interventions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Pooled it
- Non-compliance with a nurse's advice to visit the primary care provider: an exploratory secondary analysis of the TRIAGE-trial.BMC health services research · 2022Trial
- COVID-19 and beyond: Lessons learned from emergency department HIV screening for population-based screening in healthcare settings.Journal of the American College of Emergency Physicians open · 2021Article
- Co-location of out of hours primary care and emergency department in Belgium: patients' and physicians' view.BMC health services research · 2021Article
- The implementation of the nationwide out-of-hours phone number 1733 in Belgium: analysis of efficiency and safety.Primary health care research & development · 2021Article
- HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs.PloS one · 2021Article
- Article
- Sociodemographic Characteristics Associated with Contacts to Emergency Medical Services and Out-of-Hours Primary Care: An Observational Study of 2.3 Million Citizens.Clinical epidemiology · 2020Article
- Examining differences in out-of-hours primary care use in Belgium and the Netherlands: a cross-sectional study.European journal of public health · 2019Observational
- Contact to the out-of-hours service among Danish parents of small children - a qualitative interview study.Scandinavian journal of primary health care · 2018Article
- Treatment of ambulant patients by a general practitioner within a university hospital's emergency department - follow-up study of patients' behaviour shortly afterwards.German medical science : GMS e-journal · 2018Article
- Reasons for encounters and psychiatric comorbidity in an urban Bavarian primary care out-of-hour service - results of a cross sectional study.BMC health services research · 2017Article
- Migrants' motives and expectations for contacting out-of-hours primary care: a survey study.BMC family practice · 2017Article
- An after hours gp clinic in regional Australia: appropriateness of presentations and impact on local emergency department presentations.BMC family practice · 2017Article
- Point-of-care testing with CRP in primary care: a registry-based observational study from Norway.BMC family practice · 2015Observational
- Contacts with out-of-hours primary care for nonurgent problems: patients' beliefs or deficiencies in healthcare?BMC family practice · 2015Article
- To what extent does sociodemographic composition of the neighbourhood explain regional differences in demand of primary out-of-hours care: a multilevel study.BMC family practice · 2015Article
- Catchments of general practice in different countries--a literature review.International journal of health geographics · 2014Review
- Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital.Turkish journal of emergency medicine · 2014Article
- Reducing inappropriate A&E attendances.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOveruse of emergency departments (ED) is of concern in Western society and it is often referred to as 'inappropriate' use. This phenomenon may compromise efficient use of health care personnel, infrastructure and financial resources of the ED. To redirect patients, an extensive knowledge of the experiences and attitudes of patients and their choice behaviour is necessary. The aim of this study is to quantify the patients and socio-economical determinants for choosing the general practitioner (GP) on call or the ED.
methodsData collection was conducted simultaneously in 4 large cities in Belgium. All patients who visited EDs or used the services of the GP on call during two weekends in January 2005 were enrolled in the study in a prospective manner. We used semi-structured questionnaires to interview patients from both services.
results1611 patient contacts were suitable for further analysis. 640 patients visited the GP and 971 went to the ED. Determinants that associated with the choice of the ED are: being male, having visited the ED during the past 12 months at least once, speaking another language than Dutch or French, being of African (sub-Saharan as well as North African) nationality and no medical insurance. We also found that young men are more likely to seek help at the ED for minor trauma, compared to women.
conclusionsPatients tend to seek help at the service they are acquainted with. Two populations that distinctively seek help at the ED for minor medical problems are people of foreign origin and men suffering minor trauma. Aiming at a redirection of patients, special attention should go to these patients. Informing them about the health services' specific tasks and the needlessness of technical examinations for minor trauma, might be a useful intervention.
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