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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to determine the reasons why patients use hospital emergency services &#40;HES&#41; on their own initiative and the characteristics of these users&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">An <span class="elsevierStyleItalic">ad hoc</span> questionnaire was designed and applied by consecutive selection to patients who could have waited for medical care &#40;level 1 triage&#41; over a 1-week period in November 2002&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 348 patients completed the questionnaire&#59; 82&#46;5&#37; attended on their own initiative&#59; of these&#44; 17&#46;7&#37; reported they did not know how Primary Care worked in relation to the Emergency Services&#59; 18&#46;8&#37; consulted a Primary Care physician&#59; 55&#46;0&#37; preferred the HES and 13&#46;5&#37; attended because of a delay in another health care setting&#46; Half the patients &#40;50&#46;5&#37;&#41; were younger than 40 years old and 9&#46;2&#37; were foreigners&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Changes in health services&#8217; consumption patterns could jeopardize the public health system unless supply is adapted to the demand expressed and&#47;or interventions are performed to educate the public in rational health services&#8217; consumption&#46;</p>"
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Original breve
¿Por qué los pacientes utilizan los servicios de urgencias hospitalarios por iniciativa propia?
Why do patients use hospital emergency services on their own initiative?
Jesús M. Aranaz Andrésa,
Autor para correspondencia
aranaz_jes@gva.es

Correspondencia: Dr. Jesús M. Aranaz Andrés. Departamento de Salud Pública. Universidad Miguel Hernández. Campus de San Juan. Ctra. Alicante-Valencia, Km 87. 03550 San Juan de Alicante. Alicante. España.
, Rafael Martínez Noguerasb, M. Teresa Gea Velázquez de Castroa, Vicenta Rodrigo Bartualc, Pedro Antón Garcíad, Fernando Gómez Pajarese
a Servicio de Medicina Preventiva, Hospital Universitari Sant Joan d’Alacant, Alicante, España
b Servicio de Medicina Preventiva, Hospital Infanta Margarita, Cabra, Córdoba, España
c Servicio de Medicina Preventiva, Hospital La Plana de Castellón, Castellón, España
d Fundación Instituto de Investigación en Servicios de Salud
e Servicio de Medicina Preventiva, Hospital Malvarrosa, Valencia, España
Leído
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      "en" => array:1 [
        "titulo" => "Why do patients use hospital emergency services on their own initiative&#63;"
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        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Se pretende describir el perfil de usuario y determinar su motivaci&#243;n para visitar el servicio de urgencias hospitalario &#40;SUH&#41; por iniciativa propia&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Se elabor&#243; un cuestionario ad hoc que se aplic&#243; por selecci&#243;n consecutiva a los pacientes que pod&#237;an esperar asistencia &#40;nivel 1 del <span class="elsevierStyleItalic">triage</span>&#41; durante una semana de noviembre de 2002&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Respondieron el cuestionario 348 pacientes&#44; acudiendo por iniciativa propia el 82&#44;5&#37;&#46; De &#233;stos&#44; el 17&#44;7&#37; desconoc&#237;a el funcionamiento de atenci&#243;n primaria respecto a urgencias&#59; el 18&#44;8&#37; consult&#243; con su centro de salud&#59; el 55&#44;0&#37; refiri&#243; preferencia por el SUH y el 13&#44;5&#37; acudi&#243; por demora en otros niveles asistenciales&#46; El 50&#44;5&#37; era menor de 40 a&#241;os y el 9&#44;2&#37;&#44; extranjero&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los cambios en el patr&#243;n de consumo de servicios sanitarios pueden comprometer la organizaci&#243;n del Sistema Nacional de Salud&#44; si no se adapta la oferta a la necesidad expresada y&#47;o se interviene modulando el uso racional de los recursos sanitarios&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to determine the reasons why patients use hospital emergency services &#40;HES&#41; on their own initiative and the characteristics of these users&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">An <span class="elsevierStyleItalic">ad hoc</span> questionnaire was designed and applied by consecutive selection to patients who could have waited for medical care &#40;level 1 triage&#41; over a 1-week period in November 2002&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 348 patients completed the questionnaire&#59; 82&#46;5&#37; attended on their own initiative&#59; of these&#44; 17&#46;7&#37; reported they did not know how Primary Care worked in relation to the Emergency Services&#59; 18&#46;8&#37; consulted a Primary Care physician&#59; 55&#46;0&#37; preferred the HES and 13&#46;5&#37; attended because of a delay in another health care setting&#46; Half the patients &#40;50&#46;5&#37;&#41; were younger than 40 years old and 9&#46;2&#37; were foreigners&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Changes in health services&#8217; consumption patterns could jeopardize the public health system unless supply is adapted to the demand expressed and&#47;or interventions are performed to educate the public in rational health services&#8217; consumption&#46;</p>"
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Información del artículo
ISSN: 02139111
Idioma original: Español
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