Reasons for using emergency departments of major hospitals in Greater Tunis
AbstractTunisia, similar to many countries, has a problem of overcrowd ing of the emergency departments [ED]. This study aimed to analyse the reasons for using EDs, and to describe the seriousness of the attendees' condition and their itinerary before their arrival at ED. This cross-sectional study in 2009 was conducted in ED of 4 hospitals in GreaterTunis and targeted 1058 patients of both sexes, aged >/= 18 years, with stratification according to time of day of presentation to ED [morning, afternoon and evening]. Information was recorded on the sociodemographic characteristics of the study participants, reasons for choosing ED, time of and reason for consultation, diagnosis and severity of illness. Over half the patients [52.5%] were male and the mean age was 46.0 [SD 18.1] years. The main reasons for choosing the ED were: speed [54.0%] and ease of access [47.7%] of ER and occurrence of an acute episode [26.4%], Patients with serious illness accounted for only 6.3% of those interviewed. Implementation of good practices and better coordination between public and private services and the ED are needed to reduce unnecessary visits to ED
Ben Gobrane, H.L., Aounallah Skhiri, H., Ben Hamida, A., Somrani, N., Ayachi, M. et al. (2012). Reasons for using emergency departments of major hospitals in Greater Tunis. http://www.who.int/iris/handle/10665/118246
EMHJ - Eastern Mediterranean Health Journal, 18 (1), 56-65, 2012
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Steering Committee on Out-of-Hospital Emergency Medical Services : report on the 1st meeting, Copenhagen, Denmark 13-14 November 1998 Steering Committee on Out-of-Hospital Emergency Medical Services . Meeting (1st: 1998: Copenhagen, Denmark); World Health Organization. Regional Office for Europe (EUR/ICP/DLVR 03 02 01, 1998)The meeting brought together representatives from selected organizations related to emergency medical services in Europe. The purpose was to identify the objectives and strategies of the WHO project on out-of-hospital emergency medical services, which is part of a WHO project on emergency medical services, and to clarify the responsibilities of the members of the Steering Committee. It was agreed that the main objectives of the project were to determine the goals to be achieved, assess the current situation and make general recommendations on how ...