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Inappropriate Use of Public Hospitals Emergency Departments in Greece: Magnitude and Associated Factors. 2019
Petros Galanis, and
Olga Siskou, and
Giorgos Charalambous, and
Olympia Konstantakopoulou, and
Angeliki Liarigkovinou, and
Iliana Karagkouni, and
George Tsolas, and
Panagiota Chatzi, and
Aikaterini Giotaki, and
George Keramidas, and
Amalia Nikolakakou, and
Aikaterini Papachristou, and
Panagiotis Papatheodorou, and
Vasiliki Papastefanopoulou, and
Ioannis Skountzos, and
Amalia Thermogianni, and
Daphne Kaitelidou
Department of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Greece.
The aim of this study was to evaluate the appropriateness of use of the Emergency Departments (EDs) and to identify the reasons for inappropriate use. A study with 805 patients visiting the EDs of four large-scale public hospitals in Athens was conducted using the Hospital Urgencies Appropriateness Protocol (HUAP). 38.1% of the visits (n=307) were estimated as inappropriate, due to several reasons such as increased confidence in hospital rather than primary care services/patients' expectation for improved care in EDs (46.6%), convenience/proximity to patient's residence (44.6%) etc. Ageing, Greek nationality and insurance coverage were related with the appropriate use of EDs (p<0.001, p=0.04 and p=0.005, respectively). The identified distortions must be tackled so as to mitigate ED crowding, waste of resources and increase quality and responsiveness of care.
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