Seeking health care in A & E department : the patient perspective

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Seeking health care in A & E department : the patient perspective


Author: Lee, Wun-man Peggy
Title: Seeking health care in A & E department : the patient perspective
Degree: M.Sc.
Year: 1998
Subject: Hospitals -- Emergency service
Emergency medical services -- China -- Hong Kong
Public hospitals -- Outpatient services -- China -- Hong Kong
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Management
Pages: 54, [3] leaves : ill. ; 30 cm
Language: English
InnoPac Record:
Abstract: Utilization of the emergency services in Hong Kong has increased considerably during the last decade. Such an increase causes significant impact on the manpower, physical and financial resources. The objective of the study is to find out the determinants of patients attending A&E department. A questionnaire was designed and administered during August 1997. Totally 115 ambulatory patients were interviewed. Background factors such as the proximity, traveling distance, past experience and the referral agent were found to be reasons of attendance. Meanwhile, over 80% of the patients agreed that they attend because of the following determinants: convenient, free, better and appropriate A&E services, Also, it is a place for radiological examination, receiving medical treatment and solving medical problems. However, there was no significant association between the sex group and the type of housing group with all the determinants. Nevertheless, some determinants such as convenient service, perceived urgency, appropriate service, the admission function and the A&E sick leave certification were found to have a significant association with the demographic characteristics such as the education group, the income group, the age group, the years of residency as well as the occupation group. This findings have important implication for public education. Meanwhile, the triage service may be one of the present solution. Most importantly, the improvement towards the accessibility of other primary health care centers as well as better integrated and coordinated primary care services should be carried out without delay.

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