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KMID : 1039620110010010032
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Korean Journal of Family Practice
2011 Volume.1 No. 1 p.32 ~ p.39
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Characteristics of Patients Who Visit Emergency Department in Tertiary Hospital for Care of Mild Illness and Regcognition about the Family Doctor Registration Program
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Lee Ji-Soo
Yoon Chang-Hoo
Ko Hae-Jin
Lee Mi-Kyung
Seo Kang-Suk
Ryoo Hyun-Wook
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Abstract
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Background: Many patients with mild illness visit emergency department (ED) in tertiary hospital, which lead to overcrowding. Many of them experience barriers to access to primary care. Family doctor registration program (FDRP) may support this problem. This study examined the characteristics of patients who visit ED in tertiary hospital for care of mild illness and access barriers to primary care, and perception concerning the FDRP.
Methods: Telephone survey was conducted on patients who had mild illness and visited ED of Kyoungpook National University Hospital for September 2008. The questionnaire was constructed by general characteristics, perceived access barriers to primary care, and perception concerning the FDRP.
Results: Total 97 patients’ data were collected and analyzed. The 76.3% of the patients visited ED in tertiary hospital when they couldn’t use general out-patient treatment. The 25.8% of the patients had a usual medical care source and they visited ED because of these reasons; limited medical service accessibility; the patients recognized their symptom was emergent; and they trusted medical service of tertiary hospital more than primary hospital.
Conclusion: The patients who visited ED in tertiary hospitals for care of mild illness tended to overestimate their condition,
trusted service of tertiary hospital more than primary care, and experienced more access barriers to primary care. FDRP
could help to reduce their ED visits in tertiary hospital but their perception concerning the FDRP was weak.
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KEYWORD
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Family Doctor Registration Program, Mild Illness, Emergency Department
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