Children accessing accident and emergency department for non-urgent consultations: A cross-sectional study about parents’ use of primary care services

• Published in: International emergency nursing 2024-06, Vol.74, p.101436, Article 101436
• Main Authors: Dall’Oglio, Immacolata, Biagioli, Valentina, Pol, Alessandra, Gawronski, Orsola, Carlin, Claudia, Cirulli, Luisa, Piga, Simone, Stelitano, Rocco, Offidani, Caterina, Raucci, Umberto, Reale, Antonino, Tiozzo, Emanuela, Villani, Alberto, Raponi, Massimiliano, Heller, Andrea, Biondi, Federica, Gasperini, Giulia, Feraco, Dominga, Giovagnoli, Ester, Adriani, Luca
• Format: Article
• Language: English
• Subjects: Child health services; Community health centers; Pediatric emergency medicine; Primary health care; Triage
• ISSN: 1755-599X
• DOI: 10.1016/j.ienj.2024.101436

•Most parents consult at least sometimes the primary care paediatrician.•Parents rarely use other primary care services.•Only a few parents know where the nearest community health centre is located.•Children previously admitted to the hospital use more community services.•Parents ask for more information about local healthcare services. Parents often take their children to the Paediatric Accident and Emergency Department (A&E) for non-urgent consultations rather than using community-based primary care services. This study describes the use of primary care services in parents taking their children to the A&E for non-urgent consultations. A cross-sectional study was conducted from July 2018 to June 2019, in a second-level Italian paediatric A&E of a tertiary-level children’s academic research and hub hospital. Parents of children aged between 3 months and 6 years assigned with a white code at the triage were asked to complete a paper-and-pencil 40-item questionnaire after accessing the A&E for a non-urgent consultation. The questionnaire was completed by the parents of 237 children (males 58 %; median age = 2.3 years). Overall, 48.1 % (n = 114) of the parents reported consulting ‘often/always’ the primary care paediatrician, mainly when their child was sick and for check-ups (n = 182, 76.8 %). However, only 7.2 % (n = 17) of the parents ‘often/always’ used any other health service in the community. Most of them (n = 191, 82 %) did not even know where the community health centre was located. Parents accessing the A&E for non-urgent consultations should be better informed/educated on how to use community health services.