Publication
Inadequate admission and readmission of child/youth to the pediatric emergency department: integrative review
| Summary: | Background: children/youth often resort to the Pediatric Emergency Department (PED) repeatedly, which is considered inadequate use. It is essential to reduce the rates of emergency episodes of inadequate use, as a measure of efficiency and improved quality of care. Objective: identify the motives that lead to inadequate admission and readmission of the child/youth to PED. Methodology: this is an integrative review of the literature, using the methodology proposed by the Joanna Briggs Institute, by searching the PubMed, CINAHL Complete and MEDLINE Complete databases. 1944 articles were identified, 496 were selected and 13 were included. Results: of the motives that lead to the inadequate admission and readmission of children/youth to PED, it was possible to highlight: parents'/caregivers’ concern about their children's health, limited access to Primary Health Care, the advantages of PED, the parents'/caregivers’ socioeconomic level and the presence of mental and social disorders in the child/youth. Conclusion: most studies find that inadequate admission and readmissions of children/youth to PED are multifactorial and very complex to solve. It will be important to implement strategies to improve the health literacy, promote the parental role and optimize the use of different health services. |
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| Main Authors: | Meireles, Sofia |
| Other Authors: | Silva, Ernestina; Cordeiro, Manuel |
| Subject: | medicina de emergência pediátrica mau uso dos serviços de saúde garantia da qualidade dos cuidados de saúde pediatric emergency medicine health services misuse health care quality assurance medicina de urgencia pediátrica mal uso de los servicios de salud garantía de la calidad de atención de salud |
| Year: | 2024 |
| Country: | Portugal |
| Document type: | article |
| Access type: | unknown |
| Associated institution: | Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa: Unidade de Investigação e Desenvolvimento |
| Language: | Portuguese English |
| Origin: | Revista de Investigação & Inovação em Saúde (RIIS) |
| Summary: | Background: children/youth often resort to the Pediatric Emergency Department (PED) repeatedly, which is considered inadequate use. It is essential to reduce the rates of emergency episodes of inadequate use, as a measure of efficiency and improved quality of care. Objective: identify the motives that lead to inadequate admission and readmission of the child/youth to PED. Methodology: this is an integrative review of the literature, using the methodology proposed by the Joanna Briggs Institute, by searching the PubMed, CINAHL Complete and MEDLINE Complete databases. 1944 articles were identified, 496 were selected and 13 were included. Results: of the motives that lead to the inadequate admission and readmission of children/youth to PED, it was possible to highlight: parents'/caregivers’ concern about their children's health, limited access to Primary Health Care, the advantages of PED, the parents'/caregivers’ socioeconomic level and the presence of mental and social disorders in the child/youth. Conclusion: most studies find that inadequate admission and readmissions of children/youth to PED are multifactorial and very complex to solve. It will be important to implement strategies to improve the health literacy, promote the parental role and optimize the use of different health services. |
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