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 Vol 7: Self-referred patients at the Emergency Department: patient characteristics, motivations, and willingness to make a copayment.


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This article is from International Journal of Emergency Medicine, volume 7.AbstractBackground: In many countries, including the Netherlands, a substantial number of patients visit the Emergency Department ED without a referral by a general practitioner. The goal of this study was to determine the characteristics and motivations of self-referred patients SRPs at the ED. The secondary objective was to explore SRPs’ opinion about copayments. Methods: A survey, in seven different languages was performed among SRPs from October 2011 until January 2012 at an academic ED in the Netherlands. Patients were included on 21 day-, 21 evening-, and 21 nightshifts during week and weekend days equally. Patient characteristics, motivations, complaints, diagnosis, and the opinion regarding copayments were examined. Results: A total of 436 SRPs were included response rate 82%. Forty-seven percent of the ED population was self-referred. SRPs were mainly male 58%, between 18 and 35 years 54%, Dutch 67%, single without children 42%, and low-educated 73%. The most commonly presented complaints were of musculoskeletal origin 35%. Expected need for additional medical care e.g., X-rays, blood tests was the reason to visit the ED for 28% of the SRPs. Around 30% of the SRPs were not prepared to pay for an ED visit. Fifty percent of SRPs were prepared to pay up to 25 or 50 EUR. Highly educated patients were willing to pay more than patients with a low level of education p 



Author: de Valk, Janneke; Taal, Elisabeth M; Nijhoff, Mariette S; Harms, Maren H; Lieshout, Esther MM; Patka, Peter; Rood, Pleunie PM

Source: https://archive.org/



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