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首页> 外文期刊>The Canadian journal of nursing research >Uncovering factors affecting use of the emergency department for less urgent health problems in urban and rural areas.
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Uncovering factors affecting use of the emergency department for less urgent health problems in urban and rural areas.

机译：在城乡地区，影响急诊室使用较少紧急健康问题的因素尚待发现。

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People who access the emergency department for less urgent health problems have been described as inappropriate users of the health-care system.Yet little is known about the factors precipitating such use and how these differ based on location of the emergency department. In this descriptive-correlational study guided by Andersen's Model of Health Services Use, 1612 people who presented to an emergency department with a less urgent health problem were interviewed. Analysis revealed rural/urban differences in the characteristics of patients, nature of the problems, actions taken, and factors precipitating the visit. Despite its popularity, the predictive capabilities of Andersen's model were limited in explaining use of self-treatment or willingness to wait for treatment. The findings show that an emergency department's roles and functions vary according to its location. Such insights provide direction for developing services that respond to the needs of people with less urgent health problems that are cognizant of geographic location.
机译：到急诊室就不太紧急的健康问题而来的人们被描述为医疗保健系统的不适当使用者。但是，人们对这种使用的诱因以及急诊室的位置之间的差异知之甚少。在以安徒生（Andersen）的《医疗服务使用模型》为指导的描述性相关研究中，采访了1612名因紧急情况而不太紧急的人到急诊科就诊。分析显示，城乡差异在患者特征，问题性质，所采取的措施以及导致就诊的因素上有所不同。尽管它很受欢迎，但Andersen模型的预测能力在解释使用自我治疗或等待治疗的意愿方面受到限制。调查结果表明，急诊室的角色和功能因其所在位置而异。这些见解为开发服务提供了方向，这些服务可以响应那些不太紧急的健康问题（可识别地理位置）的人们的需求。

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