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WorldCist'18 - 6th World Conference on Information Systems and Technologies

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Differences between urgent and non-urgent patients in the Paediatric Emergency Department. A 240,000 visits’ analysis

Non Urgent attenders in the emergency department has been a problem in the Emergency Department for several decades leading to overcrowding, unnecessary exposure to the hospital environment and unnecessary costs to the National Health System. This study aims to search for differences between urgent patients and non urgent patients. Considering information available at the time of admission this study identifies referral and previous visit within 24h as a deterrent for non urgent visit and that the further away the patient lives from the paediatric emergency department the less likely it is for him to be admitted as a non urgent visit. This study also identifies Ophthalmology and Stomatology as the discharge physician's specialities that are more likely to receive a non urgent visit. The cost of non urgent visits ascends to 2,500,000€ per year in this paediatric emergency department alone, this burden would be greatly reduced by profiling them and implementing measures for these patients to find alternative and more appropriate means of health care.

João Viana
MEDCIDS – Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine of the University of Porto, Portugal
Portugal

Almeida Santos
São João Hospital Centre, Porto, Portugal
Portugal

Alberto Freitas
MEDCIDS – Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine of the University of Porto, Portugal
Portugal

 

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