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Non-Emergent Care in Emergency Departments
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Non-Emergent Care in Emergency Departments

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (30 November 2020) | Viewed by 8533

Special Issue Editors

Prof. Dr. Enrique Casalino

E-Mail Website
Guest Editor
1. Emergency Department and EMS, Assistance Publique-Hôpitaux de Paris (AP-HP), Bichat University Hospital, 75018 Paris, France
2. The French National Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities, 75018 Paris, France
3. IAME (Infection, Antimicrobial, Modeling, Evaluation), INSERM UMR1137, Université de Paris Cité, 75018 Paris, France
Interests: public health; infectious diseases; management and health economics; medical services
Dr. Daniel Aiham Ghazali

E-Mail Website
Guest Editor
1. Emergency Department, EMS, and Department of Research in Emergency Medicine and Simulation, University Hospital of Amiens and University Jules Vernes, 80000 Amiens, France
2. IAME Research Unit "Infection, Antimicrobials, Modelling, Evolution", INSERM UMR1137, University of Paris, 75018 Paris, France
Interests: simulation and medical pedagogy for technical and non-technical skills improvement; crisis resource management, teamwork, and leadership; stress and performance relationships during life-threatening events management; environmental impact on ED activities and management
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In addition to their mission of providing care, hospitals, and particularly Emergency Departments (ED), play a public health role. EDs often manage social problems, including poverty and social instability. Hospitals and their EDs are refuges for insecure local populations and migrants arriving in a given country. Emergency physicians are also led to manage consultations for administrative and legal reasons. Thus, non-emergent ED utilization and non-emergency care can represent up to 50% of the activity of an ED. This non-urgent care obviously impacts ED and hospital non-scheduled activities.

This Special Issue of the International Journal of Environmental Research and Public Health, “Non-Emergent Care in Emergency Departments”, offers an opportunity to publish high-quality, multi-disciplinary workplace health promotion research. We are particularly interested in research and points of view dealing with activities other than patient care in hospitals, as well as non-emergent care in EDs. We are also particularly interested in the non-exhaustive list of topics in the present Issue including (but not limited to) hospital responsibilities and emergency care related to social problems, migration, social instability and poverty, and consultations for administrative and legal reasons. We welcome papers related to evidence of successful intervention strategies and management (both in policy and in practice, including instructional education/counselling, workplace environmental change, physical activity, use of technology, and incentives), as well as indicators/surveillance for/of these initiatives. All manuscripts will be peer reviewed by experts in the field, and are due by 30 November 2019.

Prof. Enrique Casalino
Dr. Daniel Aiham Ghazali
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • hospital
  • emergency department
  • non-emergent care
  • precariousness
  • poverty
  • migration

Published Papers (3 papers)

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Research

18 pages, 2644 KiB  
Article
Overuse of Health Care in the Emergency Services in Chile
by Ximena Alvial, Alejandra Rojas, Raúl Carrasco, Claudia Durán and Christian Fernández-Campusano
Int. J. Environ. Res. Public Health 2021, 18(6), 3082; https://doi.org/10.3390/ijerph18063082 - 17 Mar 2021
Cited by 8 | Viewed by 2634
Abstract
The Public Health Service in Chile consists of different levels of complexity and coverage depending on the severity and degree of specialization of the pathology to be treated. From primary to tertiary care, tertiary care is highly complex and has low coverage. This [...] Read more.
The Public Health Service in Chile consists of different levels of complexity and coverage depending on the severity and degree of specialization of the pathology to be treated. From primary to tertiary care, tertiary care is highly complex and has low coverage. This work focuses on an analysis of the public health system with emphasis on the healthcare network and tertiary care, whose objectives are designed to respond to the needs of each patient. A review of the literature and a field study of the problem of studying the perception of internal and external users is presented. This study intends to be a contribution in the detection of opportunities for the relevant actors and the processes involved through the performance of Triage. The main causes and limitations of the excessive use of emergency services in Chile are analyzed and concrete proposals are generated aiming to benefit clinical care in emergency services. Finally, improvements related to management are proposed and the main aspects are determined to improve decision-making in hospitals, which could be a contribution to public health policies. Full article
(This article belongs to the Special Issue Non-Emergent Care in Emergency Departments)
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18 pages, 680 KiB  
Article
Profile and Motivation of Patients Consulting in Emergency Departments While not Requiring Such a Level of Care
by Daniel Aiham Ghazali, Arnaud Richard, Arnaud Chaudet, Christophe Choquet, Maximilien Guericolas and Enrique Casalino
Int. J. Environ. Res. Public Health 2019, 16(22), 4431; https://doi.org/10.3390/ijerph16224431 - 12 Nov 2019
Cited by 9 | Viewed by 2655
Abstract
Consultations that do not require an emergency department (ED) level of care have increased. We explored attitudes of non-urgent patients in two academic hospitals in France with a similar fast track organization. One of them is a Parisian hospital with 90,000 patients/year who [...] Read more.
Consultations that do not require an emergency department (ED) level of care have increased. We explored attitudes of non-urgent patients in two academic hospitals in France with a similar fast track organization. One of them is a Parisian hospital with 90,000 patients/year who are admitted to the ED, while the other admits 40,000 patients/year in a smaller city. During one month in 2018, the triage nurse handed out a survey to patients coming for non-urgent consultations. It was given back to the fast track physician at the end of the visit; 598 patients agreed to answer. They were mostly young males with adequate social coverage, consulting for osteo-articular pathologies, without any significant difference between the two sites (p = 0.32). They were equally satisfied with the care they received (p = 0.38). Satisfaction was inversely correlated to waiting time (p < 0.0001). Convenience, accessibility of emergency facilities, and geographic proximity were motivation factors. These results suggest that primary care providers who can access testing facilities in accordance with patient needs might be a solution to help reduce overcrowding in EDs. Full article
(This article belongs to the Special Issue Non-Emergent Care in Emergency Departments)
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16 pages, 737 KiB  
Article
Characteristics of Non-Emergent Visits in Emergency Departments: Profiles and Longitudinal Pattern Changes in Taiwan, 2000–2010
by Liang-Chung Huang, Wu-Fu Chung, Shih-Wei Liu, Jau-Ching Wu, Li-Fu Chen and Yu-Chun Chen
Int. J. Environ. Res. Public Health 2019, 16(11), 1999; https://doi.org/10.3390/ijerph16111999 - 5 Jun 2019
Cited by 6 | Viewed by 2797
Abstract
An increasing number of emergency department (ED) visits have posed a challenge to health systems in many countries, but an understanding of non-emergent ED visits has remained limited and contentious. This retrospective study analyzed ED visits using three representative cohorts from routine data [...] Read more.
An increasing number of emergency department (ED) visits have posed a challenge to health systems in many countries, but an understanding of non-emergent ED visits has remained limited and contentious. This retrospective study analyzed ED visits using three representative cohorts from routine data to explore the profiles and longitudinal pattern changes of non-emergent ED visits in Taiwan. Systematic-, personal-, and ED visit-level data were analyzed using a logistic regression model. Average marginal effects were calculated to compare the effects of each factor. The annual ED visit rate increased up to 261.3 per 1000 population in 2010, and a significant one-third of visits were considered as non-emergent. The rapidly growing utilization of ED visits underwent a watershed change after cost-sharing payments between patients and medical institutions were increased in 2005. In addition to cohort effects resulting from cost-sharing payment changes, all factors were significantly associated with non-emergent ED visits with different levels of impact. We concluded that non-emergent ED visits were associated with multifaceted factors, but the change to cost-sharing payment, being female, younger age, and geographical residence were the most predictive factors. This information would enhance the implementation of evidence-based strategies to optimize ED use. Full article
(This article belongs to the Special Issue Non-Emergent Care in Emergency Departments)
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