Why go to a Hospital Minor Care Clinic? Considerations Important to the Patient
Keywords:
Minor care, emergency room, patient decision makingAbstract
The purpose of this study is to explore factors that influence patients to seek help from a hospital minor care center— a unique self-selection method of triage for emergency service. This research was conducted as a qualitative single case study; our sample size was 19 patients. Interviews were our most utilized data collection method. However, we also collected observations in the waiting and treatment areas. Findings revealed four main influences on patient decisions to come to the minor care clinic: immediate cost, convenience, self-assessment and quality.
References
Tyrance, P., Himmelstein, D., and Steffie W. (1996). US Emergency Department costs: no emergency. American Journal of Public Health, 86(11), 1527-1531.
Johnson, M., Sensei, L., and Capasso, V. (2012). Improving patient flow through the emergency department, Journal of Healthcare Management, 57(4), 236-243.
Cunningham, P. (2011). Nonurgent use of hospital emergency departments. Center for Studying Health System Change. Statement before the U.S. Senate, Health, Education, Labor and Pensions Subcommittee on Primary Health and Aging, May 11, 2011. Retrieved on June 6, 2014 from http://hschange.org/CONTENT/1204/1204.pdf
Ryan, K., and Rahman, A. (2012). Examining factors influencing patient satisfaction with nurse practitioners in rural urgent care centers. Journal of American Academy of Nurse Practitioners, 24, 77-81.
Mehrotra, A., Wang M., Lave, J., Adams, J. and McGlynn E. (2008). Retail clinics, primary care physicians, and emergency departments: A comparison of patients’ visits. Health Affairs, 27(5), 1272–1282.
Hansen-Turton, T., Ridgway, C., Ryan, S., and Nash, D. (2009). Convenient care clinics: the future of accessible health care –the formation years 2006 – 2008. Population Health Management, 12(5), 231-240.
Shi, L., and Singh, D., (2010). Essentials of the U.S. health care system (2nd ed.). Sudbury, Mass: Jones and Bartlett.
Gertz, A., Frank, S., and Blixen, C., (2011). A survey of patients and providers at free clinics across the United States. Journal of Community Health, 36, 83–93.
Wilkin, H. A., Cohen, E., L., and Tannenbaum, M. A. (2012). How low-income residents decide between emergency and primary health care for non-urgent treatment. Howard Journal of Communications, 23(2), 157–174.
Law, H., Oraka, E., and Mannino, D., (2011). The role of income in reducing racial and ethnic disparities in emergency room and urgent care center visits for asthma-United States, 2001-2009, The Journal of Asthma, 48(4), 405-413.
Pines, J., Mullins, P., Cooper, J., Feng, L., and Roth, K.., (2013). National trends in emergency department use, care patterns, and quality of care of older adults in the United States. Journal of the American Geraitrics Society, 61(1), 12-7.
Uscher-Pines, L., Pines, J., Kellermann, A., Gillen, E., and Mehrotra, A. (2013). Emergency department use for nonurgent conditions: Systematic literature review, The American Journal of Managed Care, 19(1), 47-59.
O’Hara, R., O’Keeffe, C., Mason, S., Costner, J., and Hutchinson, A., (2012). Quality and safety of care provided by emergency care practitioners. Emergency Medicine Journal, 29, 327-332.
McHugh, M., and Stimphel, A., (2012). Nurse reported quality of care: A measure of hospital quality. Research in Nursing & Health, 35, 566-576.
Crotty, M. (2003). The foundations of social research. Los Angeles, CA: Sage.
Strauss, A., and Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park: Sage.
Yin, R. K. (2003). Case study research: Design and methods (3rd ed.). Thousand Oaks, CA: Sage.
Creswell, J. (2003) Research design: Qualitative, quantitative and mixed methods approaches (2nd ed.), Sage.
Merriam, S. (2009). Qualitative research: A guide to design and implementation. San Francisco, CA: Jossey-Bass.
