Emergency care visits at a South African hospital: Implications for healthcare services and policy

South African Family Practice

Field Value
Title Emergency care visits at a South African hospital: Implications for healthcare services and policy
Creator Adewole, Jacob A. Tumbo, John M. Okonta, Henry I.
Subject Family medicine; general practice; emergency medicine; primary health care accident and emergency; triage; district hospital; visits; acuity; disposal
Description Background: A robust knowledge on the pattern of use of emergency care resources not only serves as an indicator of universal access to care but also provides a basis for quality improvement within the health system. This study was undertaken to describe the pattern of emergency room visits at Brits District Hospital (BDH) in North West province, South Africa. The objectives of this study were to determine the sociodemographic characteristics of emergency department (ED) users and other patterns of ED use.Methods: This was a cross-sectional descriptive study that was conducted at a district hospital. All patients who reported for emergency care in the ED in 2016 were eligible for the study. Data were extracted and analysed from a systematic sample of 355 clinical notes and hospital administrative records.Results: The age group that visited the ED most frequently (25.3%) was 25–34 years old. A high proportion of the ED users (60%) were self-referred, and only 38% were transported by the emergency medical response services (EMRS). Few (5.6%) presentations were of a non-urgent nature. Trauma-related conditions accounted for the most frequent presentation at the ED (36.5%).Conclusion: Although most ED users were self-referred, their clinical presentations were appropriate and underscore the need for policy strategies to reduce the burden of trauma in the catchment populationContribution: The study findings may have an impact on future health policies by providing decision-makers with baseline information on the pattern of use of ED resources, ensuring better resource deployment and greater access to care.
Publisher AOSIS
Contributor Stevens Kgoebane, Sefako Makgatho Health Sciences University Seyi Olopade, University of Johannesburg —
Date 2024-03-18
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross-sectional descriptive study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v66i1.5816
Source South African Family Practice; Vol 66, No 1 (2024): Part 2; 6 pages 2078-6204 2078-6190
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/5816/8594 https://safpj.co.za/index.php/safpj/article/view/5816/8595 https://safpj.co.za/index.php/safpj/article/view/5816/8596 https://safpj.co.za/index.php/safpj/article/view/5816/8597
Coverage Africa; South Africa; North West Province; Bojanala District; Brits January - December 2016 Emergency department patients
Rights Copyright (c) 2024 Jacob A. Adewole, John M. Tumbo, Henry I. Okonta https://creativecommons.org/licenses/by/4.0