scholarly journals Transient loss of consciousness as reason for admission to primary health care emergency room

2003 ◽  
Vol 21 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Kirsti Martikainen ◽  
Kaija Seppä ◽  
Paula Viita ◽  
Sulo Rajala ◽  
Pekka Laippala ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emergency Room ◽  
Loss Of Consciousness ◽  
Transient Loss Of Consciousness ◽  
Primary Health ◽  
Transient Loss ◽  
Reason For Admission

Outcome and consequences according to the type of transient loss of consciousness: 1-year follow-up study among primary health care patients

2010 ◽  
Vol 258 (1) ◽  
pp. 132-136 ◽  
Author(s):  
Kirsti K. Martikainen ◽  
Kaija Seppä ◽  
Paula M. Viita ◽  
Sulo A. Rajala ◽  
Tiina H. Luukkaala ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Loss Of Consciousness ◽  
Transient Loss Of Consciousness ◽  
Follow Up Study ◽  
Primary Health ◽  
Transient Loss

Encouraging Self—Care within a Primary Health Care Framework

2007 ◽  
Vol 20 (2) ◽  
pp. 28-33 ◽  
Author(s):  
Mary Lou O'Neill ◽  
Evelyn Kennedy ◽  
Cyndee MacPhee
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emergency Room ◽  
Self Care ◽  
Health Problems ◽  
Perceived Usefulness ◽  
Emergency Room Visits ◽  
Primary Health ◽  
Study Results

This study was undertaken primarily to evaluate Do I Need to See the Doctor?, a book designed to assist young families to self-manage common health problems. In addition, the study sought to determine whether providing an introductory explanation to the book had an impact on the respondents' perceived usefulness of it. Comparisons of emergency room visits were made for the timeframe of the study and for the previous year. Study results support the book's usefulness in increasing respondents' confidence to make knowledgeable, informed self-care decisions. Providing explanations did not affect the book's usefulness. A link between emergency room visits and the book requires further study.

Synkope, epileptischer oder psychogener Anfall? Der Weg zur richtigen Diagnose

2019 ◽  
Vol 144 (12) ◽  
pp. 835-841
Author(s):  
Tobias Baumgartner ◽  
Rainer Surges
Keyword(s):  
Emergency Room ◽  
Daily Life ◽  
Epileptic Seizures ◽  
Loss Of Consciousness ◽  
Transient Loss Of Consciousness ◽  
Daily Life Activities ◽  
Transient Loss ◽  
Impact On Treatment ◽  
Key Features ◽  
The Impact

AbstractTransient loss of consciousness (TLOC) is a frequent cause of referral to an emergency room. In view of the impact on treatment and the patients’ daily life activities (e. g. profession, driving license), an accurate and timely diagnosis is of uttermost importance. This article provides key features and suggests a practical step-by-step approach of how to differentiate syncope, epileptic and psychogenic non-epileptic seizures as the commonest causes of nontraumatic TLOC.

scholarly journals Evaluation of Emergency Room Patients with Transient Loss of Consciousness. Significance of Ergonovine Provocation Test.

1991 ◽  
Vol 2 (3) ◽  
pp. 630-637
Author(s):  
Yasuhiko Tanabe ◽  
Kenshi Tsuchida ◽  
Toshihide Shu ◽  
Yutaka Igarashi ◽  
Yusuke Tamura ◽  
...  
Keyword(s):  
Emergency Room ◽  
Provocation Test ◽  
Loss Of Consciousness ◽  
Transient Loss Of Consciousness ◽  
Emergency Room Patients ◽  
Transient Loss

scholarly journals Tolerance and acculturation

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Ursula Småland Goth
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emergency Room ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Gp Services ◽  
Diverse Groups

Background: Since the 1970s, Norway has experienced a significant increase in population diversity. In 2001, a patient-list system, also referred to as the General Practitioner (GP) Scheme (Norwegian: Fastlegeordning), was introduced to ensure access to primary health care for the entire population. At the time of its introduction, the scheme, which was designed for a homogenous population, was intended to improve the quality of GP services. By facilitating stability and continuity in the doctor-patient relationship, the scheme aimed to ensure equitable access to, and use of, secondary health care. Despite the intention to facilitate stable doctor-patient relationships, employees in health care facilities report that many immigrants use the emergency room rather than GP services. Equity in health care is the absence of systematic disparities in health care. Since the provision of equitable health services is a priority in Norway, this study aimed to investigate the possible motives for immigrants’ choice of service provider and to propose measures to increase the uptake of GP services by this group.Purpose and approach: The aim of the article is to examine newly arrived immigrants' experiences with primary health care. The article attempts to shed light on why immigrants seek medical help at the emergency room and not from their assigned GPs in non-life-threatening situations.Methods and materials: We adopted an exploratory approach in order to investigate both the motives and experiences of diverse groups of immigrants. Semi-structured interviews were conducted with 12 Oslo GPs and 13 immigrant representatives, all living in Oslo. To illustrate patterns on a large scale, we adopted a quantitative approach based on data from health authorities’ registers of consultations. 1,935,000 primary health care consultations conducted in the Greater Oslo area over a two-year period were included in the regression analyses.Results and interpretation: The study shows a varied pattern of use of GP services among the diverse groups of foreign-born residents. Results suggest that immigrants are more likely to use emergency-room services during the first few years after arrival. Results also indicate that information about the patient-list system does not always reach newly arrived immigrants. Contrary to general understanding, non-visible immigrants (when considering factors such as skin color and clothing) diverge the most from the pattern of the majority. Immigrants originating from European countries, such as Sweden and Poland, use the emergency room most frequently. From the qualitative aspects of the study, we have also found that primary health care services are not perceived as equitable.Conclusion: Recently arrived immigrants’ utilization of primary health care services shows an unfavorable pattern. The choice of primary health care service providers is dependent on the individual’s preferences, expectations, experiences and/or actual obstacles. The observed utilization of services provided at emergency rooms is one more reason for monitoring and increasing tolerance and cultural sensitivity in primary health care.

scholarly journals Toleranse, kultursensitivitet og akkulturasjon: Interkulturelle utfordringer for primærhelsetjenesten og nyankomne innvandrere i Norge

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Ursula Småland Goth
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emergency Room ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Gp Services ◽  
Diverse Groups

Background: Since the 1970s, Norway has experienced a significant increase in population diversity. In 2001, a patient-list system, also referred to as the General Practitioner (GP) Scheme (Norwegian: Fastlegeordning), was introduced to ensure access to primary health care for the entire population. At the time of its introduction, the scheme, which was designed for a homogenous population, was intended to improve the quality of GP services. By facilitating stability and continuity in the doctor-patient relationship, the scheme aimed to ensure equitable access to, and use of, secondary health care. Despite the intention to facilitate stable doctor-patient relationships, employees in health care facilities report that many immigrants use the emergency room rather than GP services. Equity in health care is the absence of systematic disparities in health care. Since the provision of equitable health services is a priority in Norway, this study aimed to investigate the possible motives for immigrants’ choice of service provider and to propose measures to increase the uptake of GP services by this group.Purpose and approach: The aim of the article is to examine newly arrived immigrants' experiences with primary health care. The article attempts to shed light on why immigrants seek medical help at the emergency room and not from their assigned GPs in non-life-threatening situations.Methods and materials: We adopted an exploratory approach in order to investigate both the motives and experiences of diverse groups of immigrants. Semi-structured interviews were conducted with 12 Oslo GPs and 13 immigrant representatives, all living in Oslo. To illustrate patterns on a large scale, we adopted a quantitative approach based on data from health authorities’ registers of consultations. 1,935,000 primary health care consultations conducted in the Greater Oslo area over a two-year period were included in the regression analyses.Results and interpretation: The study shows a varied pattern of use of GP services among the diverse groups of foreign-born residents. Results suggest that immigrants are more likely to use emergency-room services during the first few years after arrival. Results also indicate that information about the patient-list system does not always reach newly arrived immigrants. Contrary to general understanding, non-visible immigrants (when considering factors such as skin color and clothing) diverge the most from the pattern of the majority. Immigrants originating from European countries, such as Sweden and Poland, use the emergency room most frequently. From the qualitative aspects of the study, we have also found that primary health care services are not perceived as equitable.Conclusion: Recently arrived immigrants’ utilization of primary health care services shows an unfavorable pattern. The choice of primary health care service providers is dependent on the individual’s preferences, expectations, experiences and/or actual obstacles. The observed utilization of services provided at emergency rooms is one more reason for monitoring and increasing tolerance and cultural sensitivity in primary health care.

scholarly journals Prevalence and Factors Associated with Attendance of Non-Urgent Cases of Pediatric Emergency Room in Riyadh, Saudi Arabia

2021 ◽  
pp. 316-320
Author(s):  
Mutlaq Almutlaq ◽  
Yazid Alsuliman
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Emergency Room ◽  
Severity Index ◽  
Pediatric Emergency ◽  
Upper Respiratory Tract ◽  
Emergency Severity Index ◽  
Primary Health ◽  
Upper Respiratory

The care for emergency conditions is an important feature of developed the systems of                 healthcare. Emergency medicine is the medical specialty dedicated to diagnosis and treatment of unforeseen illness or injuries. Overcrowding of Emergency Room (ER) by non-urgent cases is a problem that should be raised and reasons for that need to be sought. The aim is to identify the prevalence and factors behind non-urgent cases attending to acute care in Riyadh. This is a cross-sectional study which was conducted over a one-year period. Questionnaires were distributed to parents of children ≤14 years attending pediatric emergency room (ER) in multiple hospitals in Riyadh, Saudi Arabia. The sample size was 383 participants recruited using convenience sampling technique. The inclusion criteria comprised of pediatrics ≤14 years attending to ER with urgent cases (level 1, 2 and 3 according to Emergency Severity Index) and minor trauma (contusion, abrasion), sore throat, upper respiratory tract infection (URTI), mild abdominal pain, vomiting alone or diarrhea alone with no sign of dehydration of (level 4 and 5 according to Emergency Severity Index). 383 questionnaires were collected. The sample consisted mostly of females 56%. Upper respiratory tract infection (URTI) was the highest reason for pediatric emergency room visits (55.1%). Only 12.2% have visited primary health care (PHC) prior to emergency room. Most of participants have sources for medical advice other than emergency physicians (80.3%). Results also show that many parents who have brought their kids to emergency lacked the knowledge that their cases could be managed in primary health care (76.2%). In Conclusion, results have shown that many parents choose ER whenever their children have any symptoms. Reasons for that varied between each participant. Many participants are ignorant of the capabilities of PHC centers, and their services. Raising awareness regarding primary health should be the objective to reduce number of non-urgent cases visiting emergency room.

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