Evidence map›Paper›PMID 31601591›Full record

ArticleBMJ open2019

Emergency department visits for non-urgent conditions in Iran: a cross-sectional study.

Mohammadkarim Bahadori, Seyyed Meysam Mousavi, Ehsan Teymourzadeh, Ramin Ravangard

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
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  7. Emergency care visits at a South African hospital: Implications for healthcare services and policy.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
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  12. Reasons for patients with non-urgent conditions attending the emergency department in Kenya: A qualitative study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021
    Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mohammadkarim BahadoriHealth Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-7157-9908
Seyyed Meysam MousaviHealth Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran m-mousavi@razi.tums.ac.ir.ORCID 0000-0002-6795-7224
Ehsan TeymourzadehHealth Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Ramin RavangardHealth Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the percentage of non-urgent (NU) visits in an Iranian emergency department (ED), to explore why patients with NU conditions refer to EDs and also to assess the association between patients' characteristics and their visits.

designA cross sectional study based on face to face survey.

settingA territorial, teaching and military hospital in Tehran province, Iran. PARTICIPANTS AND DATA COLLECTION: All patients who visited the ED during the 2-week period were recruited. Data were collected using a validated questionnaire.

resultsOf 1884 patients who visited the ED, 1217 (64.6%) patients were triaged as NU while 667 (35.4%) were urgent and semiurgent visits cases. The most important reasons for NU visits were seeking prompt (36.6%) and less costly care (35.9%). We found that NU visits have increased with younger patients, during weekends and night shifts, and with patients suffering from recurrent symptoms lasting in 1 week or less.

conclusionsEDs are a common source of care for NU problems in Iran. The most invaluable solution is building up special clinics for providing healthcare services to NU patients during the weekends and, in the busy and night shifts. Receiving higher fees from NU patients could also be adopted with caution. Promoting awareness and knowledge of both healthcare providers and patients about the main role of EDs will contribute in improving their performance. As a long-term solution, adopting the family physician programme and ameliorating the referral system are recommended.

Indexed as

AdultCross-Sectional StudiesEmergency Service, HospitalFemaleHumansIranMaleMiddle AgedPatient Acceptance of Health CareSelf ReportYoung Adultemergency departmenthospitalsIrannon-urgent visits

Identifiers

PMID31601591
PMCPMC6797411

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.