|Opis:||Theoretical starting-points: The number of patients in the emergency clinic all over the world from year to year increases. There are a lot of reasons for the rapid growth of visits to the emergency clinic. Unfortunately it’s increasing the proportion of patient’s visits to the emergency clinic because of health problems that are not suitable for treatment on it, causing additional overloading to the clinics.
The purpose of this master's thesis is to determine, through this research, whether the General emergency clinic Ljubljana is facing with such non-urgent patients.
Research methodology: From the community health center Ljubljana we got permission to check documentation of the General emergency clinic Ljubljana. According to the documentation we chose as a pre-planned sample all non-urgent patients who have, in August 2014, visited the General emergency clinic Ljubljana. As a non-urgent patient, we have marked a patient, who after the Manchester triage system got a blue or green triage category and his problems last more than three days. Based on the documentation of non-urgent patients there were analyzed data about sex, age, time of treatment, the reason for the visit, triage category and financial value of non-urgent visits. Acquired data on non-urgent patients were treated according to a retrospective analysis using a computer program SPSS 20.0, in which were used descriptive statistics.
Results: After reviewing the documentation and completion of our research, we found that the number of patients in the General emergency clinic Ljubljana from year to year increase. Some of them are coming to the General emergency clinic Ljubljana with non-urgent health problems. There were 176 cases in August 2014 with that kind of patients with non-urgent health problems. We found out that 60% of them were men, who as non-urgent patients, were seeking medical help at the General emergency clinic Ljubljana, but nevertheless there were no statistically significant gender differences in the frequency of visits of non-urgent patients during night time (t = 1.145; p = 0.254). Almost 28.4% of non-urgent patients stated as the reason to visit the General Emergency clinic Ljubljana that they do not want to visit their personal doctor. The age group of non-urgent patients, who more frequently visited the General emergency clinic Ljubljana represents 37.5% of patients aged from 20 to 39 years. In addition, the findings did not detect a statistically significant difference (t = 1.922; p = 0.067) between patients older or younger than 75 years in the frequency of visits to the General emergency clinic Ljubljana at night time. The research has shown that the treatment of non-urgent patients take medical personnel at the General emergency clinic Ljubljana a lot of time; this consequently leads to additional costs and overload. On average, in August 2014, General emergency clinic Ljubljana had a daily visit of 6 non-urgent patients, who should have looked for medical attention elsewhere.
Conclusions: Emergency clinics are not intended to check non-urgent patients. Their purpose is to give prompt medical attention to life risk patients, whose medical condition has been suddenly deteriorated Since non-urgent patients are increasingly abusing or filling the emergency clinics due to non-urgent medical problems, it would be reasonable to define by official regulations, the purpose of the operation of each new opened urgent center, therefore, to whom they are intended and what to do with non-urgent patients.|