1 in 7 patients can be cared for outside

More accessible out-of-hospital services help reduce ongoing pressure on emergency departments (EDs), both during and in the future, according to a study by. Flinders University..

This study surveyed 1289 adult Australians who experienced health problems that would normally go to ED. During the first wave of the pandemic, these patients sought to avoid ED by presenting it or seeking medical care through alternative means such as GP telemedicine or GP face-to-face appointment.

A survey asking about their experience and satisfaction with the care they received found that 35% contacted another healthcare provider. Forty percent of this cohort was able to avoid being presented to the ED.

“This means that 14% or 1 in 7 of all respondents sought health care from alternative sources of ED and avoided presenting it in ED,” Flinders Health and Medical Research Institute, Flinders. Jonathan Karnon, professor of Health Economics, who is the director of the program, said. University.

“Avoiding presentation of ED by the day the study is completed, coupled with a low level of dissatisfaction with the medical care received, causes about 1 in 7 patients who are aware of the need for emergency care to be out of ED. Suggests that it can be adequately treated. “

Accessibility barriers

However, the findings also found that 1 in 10 people avoided seeking health care because of their problems. These people are often older and in poor general health and may not have been able to receive the care they needed during a pandemic.

Self-management and avoidance of professional care were more common in the elderly and those with poor or very poor general health, that is, in groups at high risk of COVID-19 serious illness.

The finding that individuals with potential urgent health care needs chose to self-manage their health status suggests a barrier to the use of telemedicine, the authors say.

“The effectiveness of campaigns that promote the use of primary care as an alternative to ED can be limited by accessibility barriers and funding incentives that may encourage participation in ED.”

In a recent Flinders University-led study, clinicians across general practice, related care and specialty services discovered changes in management and medical culture, coupled with changes in funding for telemedicine during pandemics, and telemedicine services. Technology that has been found to be legalized and has increased confidence and acceptance of it.

However, another Australian study found that patients had problems accessing telemedicine if they could not be consulted when needed, if the patient did not have access to the Internet, or if the patient felt the process was too complex. It turns out that there may be.

Continuation of telemedicine services after a pandemic

The study also reported that 62% of patients who accessed telemedicine services during the COVID-19 pandemic reported their experience as “as much” or “better” as face-to-face promises, many of which were telemedicine services. After the pandemic, I found that it was useful to continue.

In the new survey, 79% of respondents who contacted another provider contacted the GP, and 43% of those who received face-to-face consultations and 56% of those who received telemedicine consultations completely avoided ED presentations. Did.

“Avoiding ED presentations by about half of all patients who have scheduled GP consultations means a broader range to promote the use of GP consultations instead of presentations in ED,” says Professor Karnon. Says.

GP telemedicine consultation means that the patient does not have to go to the doctor’s clinic or ED and do not have to experience long waiting times, but still received free medical training at the time of patient care We will provide consultation with a doctor.

“Compared to the telephone helpline service, GP telemedicine consultations are conducted with doctors who can provide reliable medical advice, and appointment times are provided, avoiding long waiting times on the phone.”

However, the authors say that they found concerns in 10% of respondents who did not seek any form of health care, with a high rate of reporting residual concerns about the health issues raised at the completion of the survey.Survey results published in JMIR Human Factors..

Image credit: © / au / nito

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