Background
Methods
Context
Materials
Data collection and analysis
Ethical approval
Results
Descriptive
GP | ED | |
---|---|---|
Gender (% men) | 289/638 (45.3%) | 492/968 (50.8%) |
Mean age | 35.7 years, SD 45.9 | 32.2 years, SD 23.3 |
Registered with a GP (% yes) | 584/638 (91.5%) | 754/967 (78.0%) |
Used ED at least once during past 12 months (% yes) | 185/634 29.1%) | 379/960 (39.5%) |
Employed (% yes) | 354/622 (56.9%) | 487/955 (51.0%) |
First language Dutch or French (both national Belgian languages) (% yes) | 580/639 (90.8%) | 747/968 (77.2%) |
Nationality: | ||
- Belgian | 526/640 (82.2%) | 642/968 (66.3%) |
- African | 20/640 (3.1%) | 129/968 (13.3%) |
- Other | 94/640 (14.7%) | 197/968 (20.4%) |
ICPC2 chapter | RFE | Diagnosis | ||||
---|---|---|---|---|---|---|
GP service | ED | Total | GP service | ED | Total | |
Missing | 2 | 1 | 3 | 14 | 2 | 16 |
General and unspecified | 96 | 83 | 179 | 31 | 52 | 83 |
Blood, blood forming organs | 1 | 0 | 1 | 1 | 4 | 5 |
Digestive | 68 | 62 | 130 | 68 | 60 | 128 |
Eye | 3 | 13 | 16 | 1 | 11 | 12 |
Ear | 9 | 5 | 14 | 13 | 4 | 17 |
Circulatory | 6 | 8 | 14 | 7 | 25 | 32 |
Musculoskeletal | 33 | 119 | 152 | 27 | 106 | 133 |
Neurological | 19 | 26 | 45 | 10 | 17 | 27 |
Psychological | 6 | 17 | 23 | 7 | 19 | 26 |
Respiratory | 72 | 47 | 119 | 124 | 56 | 180 |
Skin | 17 | 58 | 75 | 21 | 78 | 99 |
Endocrine, metabolic, nutrition | 0 | 0 | 0 | 0 | 3 | 3 |
Urological | 2 | 6 | 8 | 8 | 8 | 16 |
Pregnancy, child-bearing, family planning | 0 | 0 | 0 | 1 | 1 | 2 |
Female genital | 0 | 3 | 3 | 1 | 2 | 3 |
Male genital | 2 | 2 | 4 | 2 | 2 | 4 |
Social problems | 1 | 0 | 1 | 1 | 0 | 1 |
Total
|
337
|
450
|
787
|
337
|
450
|
787
|
ED (N = 971) | Trauma | Non-trauma | |
---|---|---|---|
Male | 165 | 327 | 492 |
Female | 131 | 345 | 476 |
Total | 296 | 672 | 968 |
GP (N = 640) | Trauma | Non-trauma | |
---|---|---|---|
Male | 32 | 257 | 289 |
Female | 46 | 303 | 349 |
Total | 78 | 560 | 638 |
Question: 'Why did you decide to seek help at the ED?' (more answers possible) (N = 971) | |
---|---|
Reason | Absolute number of patients who checked the box (%) |
Accessibility | 140 (14.4%) |
Competence of personnel | 110 (11.3%) |
Proximity | 107 (11.0%) |
Open 24/7 | 88 (9.1%) |
No knowledge of GP on call | 70 (7.2%) |
Family doctor not available | 50 (5.1%) |
No need for an appointment | 39 (4.0%) |
Not wanting to disturb the GP on call | 26 (2.6%) |
No need for immediate payment | 10 (1.0%) |
GP or ED? A binary logistic regression analysis
P value | OR | 95,0% C.I. for OR | ||
---|---|---|---|---|
Lower | Upper | |||
Sex male (female)
|
0,049
|
1,249
|
1,001
|
1,559
|
Not registered with GP (Yes)
|
0,000
|
2,696
|
1,856
|
3,916
|
Did not visit the ED past 12 months (Yes)
|
0,001
|
0,675
|
0,533
|
0,855
|
Education: No diploma or primary school | 0,064 | |||
Secondary school | 0,870 | 0,972 | 0,691 | 1,367 |
University or High school | 0,098 | 0,726 | 0,496 | 1,061 |
Age category (> 60 y) | 0,339 | |||
0-14 y | 0,918 | 1,021 | 0,693 | 1,503 |
15-59 y | 0,283 | 1,211 | 0,854 | 1,716 |
Language (other than Dutch/French)
|
0,006
| |||
French
|
0,001
|
0,491
|
0,317
|
0,761
|
Dutch
|
0,007
|
0,522
|
0,326
|
0,836
|
Unemployed (Employed) | 0,844 | 0,973 | 0,744 | 1,274 |
Nationality (Belgian)
|
0,000
| |||
African Sub-Saharan
|
0,008
|
3,726
|
1,400
|
9,914
|
North African
|
0,001
|
2,885
|
1,513
|
5,501
|
Turkish | 0,164 | 1,891 | 0,771 | 4,638 |
Other nationalities | 0,436 | 0,859 | 0,585 | 1,261 |
No medical insurance (Yes)
|
0,032
|
3,231
|
1,106
|
9,442
|
Constant | 0,000 | 10,859 |