Telephone Referral to a Paediatric Emergency Department: Why Do Parents Not Show Up?

Details

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_358DDA51E96D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Telephone Referral to a Paediatric Emergency Department: Why Do Parents Not Show Up?
Journal
Children
Author(s)
Freiermuth M., Newman C.J., Villoslada J.
ISSN
2227-9067 (Print)
ISSN-L
2227-9067
Publication state
Published
Issued date
18/01/2023
Peer-reviewed
Oui
Volume
10
Number
2
Pages
179
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Medical call centres can evaluate and refer patients to an emergency department (ED), a physician or provide guidance for self-care. Our aim was (1) to determine parental adherence to an ED orientation after being referred by the nurses of a call centre, (2) to observe how adherence varies according to children's characteristics and (3) to assess parents' reasons for non-adherence. This was a prospective cohort study set in the Lausanne agglomeration, Switzerland. From 1 February to 5 March 2022, paediatric calls (<16 years old) with an ED orientation were selected. Life-threatening emergencies were excluded. Parental adherence was then verified in the ED. All parents were contacted by telephone to respond to a questionnaire regarding their call. Parental adherence to the ED orientation was 75%. Adherence decreased significantly with increasing distance between the place the call originated and the ED. The child's age, sex and health complaints within calls had no effect on adherence. The three major reasons for non-adherence to telephone referral were: improvement in the child's condition (50.7%), parents' decision to go elsewhere (18.3%) and an appointment with a paediatrician (15.5%). Our results offer new perspectives to optimise the telephone assessment of paediatric patients and decrease barriers to adherence.
Keywords
Pediatrics, Perinatology and Child Health, children, emergency department, non-adherence, telephone triage
Pubmed
Web of science
Open Access
Yes
Create date
19/01/2023 11:06
Last modification date
11/05/2023 5:53
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