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Subjective reasons why immigrant patients attend the emergency department

机译：移民患者前往急诊科的主观原因

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Background Some patients visit a hospital’s emergency department (ED) for reasons other than an urgent medical condition. There is evidence that this practice may differ among patients from different backgrounds. The objective of this study was to examine the reasons why patients from a non-English speaking background (NESB) and patients with an English speaking background but not born in Australia (ESB-NBA) visit the ED, as compared to patients from English-speaking backgrounds but born in Australia (ESB-BA). Methods A cross-sectional survey was conducted at the ED of a tertiary hospital in metropolitan Brisbane, Queensland, Australia. Over a four-month period patients who were assigned an Australasian Triage Scale score of 3, 4 or 5 were surveyed. Pearson chi-square test and multivariate logistic regression analyses were performed to examine the differences between the ESB and NESB patients’ reported reasons for attending the ED. Results A total of 828 patients participated in this study. Compared to ESB-BA patients NESB patients were less likely to consider contacting a general practitioner (GP) before attending the ED (Odds Ratios (OR) 0.6 (95% Confidence Interval (CI) 0.4–0.8, p? Conclusions NESB patients were the least likely to consider contacting a GP before attending hospital EDs. Educational interventions may help direct NESB people to the appropriate health services and therefore reduce the burden on tertiary hospitals ED.
机译：背景信息一些患者出于紧急医疗状况以外的原因前往医院的急诊科（ED）。有证据表明，不同背景的患者之间的这种做法可能有所不同。这项研究的目的是调查与来自英语国家/地区的患者相比，来自非英语背景（NESB）的患者和具有英语但又不是澳大利亚出生的患者（ESB-NBA）访问ED的原因。具有语言背景，但出生于澳大利亚（ESB-BA）。方法在澳大利亚昆士兰州布里斯班市的一家三级医院急诊室进行横断面调查。在四个月的时间内，对分配给澳大利亚分流量表评分为3、4或5的患者进行了调查。进行了Pearson卡方检验和多因素Logistic回归分析，以检查ESB和NESB患者报告参加急诊科的原因之间的差异。结果共有828例患者参加了这项研究。与ESB-BA患者相比，NESB患者在参加ED之前考虑与全科医生（GP）接触的可能性较小（赔率（OR）0.6（95％可信区间（CI））0.4-0.8，p？结论）教育干预措施可以帮助将NESB人员引导到适当的卫生服务机构，从而减轻三级医院ED的负担。

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