Lower urgency paediatric injuries: Parent preferences for emergency department or general practitioner care.

Gafforini, S; Turbitt, E; Freed, GL

Lower urgency paediatric injuries: Parent preferences for emergency department or general practitioner care.

Gafforini, S Turbitt, E

Freed, GL

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Publisher:: WILEY-BLACKWELL
Publication Type:: Journal Article
Citation:: Emerg Med Australas, 2016, 28, (5), pp. 564-568
Issue Date:: 2016-10

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Field	Value	Language
dc.contributor.author	Gafforini, S
dc.contributor.author	Turbitt, E https://orcid.org/0000-0002-6650-9702
dc.contributor.author	Freed, GL
dc.date.accessioned	2022-08-07T06:43:44Z
dc.date.available	2016-06-13
dc.date.available	2022-08-07T06:43:44Z
dc.date.issued	2016-10
dc.identifier.citation	Emerg Med Australas, 2016, 28, (5), pp. 564-568
dc.identifier.issn	1742-6731
dc.identifier.issn	1742-6723
dc.identifier.uri	http://hdl.handle.net/10453/159737
dc.description.abstract	OBJECTIVES: Injuries are a significant proportion of lower urgency (triage category 4 or 5) child presentations to the EDs in metropolitan Melbourne. The purpose of the present study was to assess parental preferences and experiences regarding the treatment of lower urgency child injuries and the role of general practitioners (GPs) in such care. METHODS: A self-administered survey study of 1150 parents of children ≤9 years of age attending the ED at one of four Victorian hospitals triaged with a lower urgency condition (triage category 4 or 5) looked at whether children with lower urgency injuries are frequently referred by their GP to the ED and parent preferences for the care of lower urgency child injuries. Parents were recruited by time of day and weekday/weekend. Descriptive and bivariate analyses were performed. RESULTS: Fewer parents of injured children, compared with illness, attempted to make a GP appointment prior to attending ED (35% vs 46%; P < 0.001). A greater proportion of injured children were referred to the ED by their GP than ill children (84% vs 59%; P = <0.001). More parents (53%) preferred ED for the care of child injuries than primary care. Parents who presented to the ED with an ill child were more likely to indicate that they have greater trust in ED doctors for the treatment of injuries than primary care doctors (56% vs 46%; P = 0.003). CONCLUSIONS: Treatment provided in the ED for child injuries is valued highly by most parents, with a higher proportion of children with an injury being referred to the ED by their GP. Improving GP treatment skills and training opportunities may reduce GP referrals of lower urgency child injuries to the ED.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY-BLACKWELL
dc.relation.ispartof	Emerg Med Australas
dc.relation.isbasedon	10.1111/1742-6723.12651
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services
dc.subject.classification	Emergency & Critical Care Medicine
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Emergency Service, Hospital
dc.subject.mesh	Female
dc.subject.mesh	General Practitioners
dc.subject.mesh	Humans
dc.subject.mesh	Infant
dc.subject.mesh	Male
dc.subject.mesh	Parents
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Triage
dc.subject.mesh	Victoria
dc.subject.mesh	Wounds and Injuries
dc.subject.mesh	Humans
dc.subject.mesh	Wounds and Injuries
dc.subject.mesh	Parents
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Infant
dc.subject.mesh	Emergency Service, Hospital
dc.subject.mesh	Triage
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Victoria
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	General Practitioners
dc.subject.mesh	Surveys and Questionnaires
dc.title	Lower urgency paediatric injuries: Parent preferences for emergency department or general practitioner care.
dc.type	Journal Article
utslib.citation.volume	28
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Genetic Counselling
utslib.copyright.status	closed_access	*
dc.date.updated	2022-08-07T06:43:43Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	28
utslib.citation.issue	5

Abstract:

OBJECTIVES: Injuries are a significant proportion of lower urgency (triage category 4 or 5) child presentations to the EDs in metropolitan Melbourne. The purpose of the present study was to assess parental preferences and experiences regarding the treatment of lower urgency child injuries and the role of general practitioners (GPs) in such care. METHODS: A self-administered survey study of 1150 parents of children ≤9 years of age attending the ED at one of four Victorian hospitals triaged with a lower urgency condition (triage category 4 or 5) looked at whether children with lower urgency injuries are frequently referred by their GP to the ED and parent preferences for the care of lower urgency child injuries. Parents were recruited by time of day and weekday/weekend. Descriptive and bivariate analyses were performed. RESULTS: Fewer parents of injured children, compared with illness, attempted to make a GP appointment prior to attending ED (35% vs 46%; P < 0.001). A greater proportion of injured children were referred to the ED by their GP than ill children (84% vs 59%; P = <0.001). More parents (53%) preferred ED for the care of child injuries than primary care. Parents who presented to the ED with an ill child were more likely to indicate that they have greater trust in ED doctors for the treatment of injuries than primary care doctors (56% vs 46%; P = 0.003). CONCLUSIONS: Treatment provided in the ED for child injuries is valued highly by most parents, with a higher proportion of children with an injury being referred to the ED by their GP. Improving GP treatment skills and training opportunities may reduce GP referrals of lower urgency child injuries to the ED.

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http://hdl.handle.net/10453/159737