Scholarlink

Background <p>The directives of the Federal Joint Committee (G-BA) define tiered emergency care structures, but their influence on patient decision-making has not been sufficiently studied.</p> Objective (research question) <p>This study examined patient-related determinants of utilising emergency departments (ED) of different emergency levels in Bavaria.</p> Materials and methods <p>From September to November 2024, we carried out a&#xa0;standardised, cross-sectional survey in 18&#xa0;ED at basic, extended and comprehensive care levels (<i>n</i> = 7527 participants). Data were analysed descriptively and with multinomial logistic regression. Subjective urgency, reason for visit, travel time and mode of arrival were included as influencing factors.</p> Results <p>15.4% of respondents who visited the ED independently (<i>n</i> = 5300) chose to do so because of the expected specialization. Patients in comprehensive EDs used emergency medical services significantly more often, rated their urgency higher and more frequently reported neurological, urological or ophthalmological complaints. They accepted longer travel times and were less likely to have sought outpatient care beforehand.</p> Discussion <p>The choice of emergency level is chiefly influenced by subjective urgency, specialty-related complaint types, mode of arrival and institutional structure. Even the existing heterogeneity among institutions exerts a&#xa0;steering effect. Future management concepts—such as integrated emergency centres—should incorporate these patient preferences and regional care realities to enable need-oriented direction without undersupply.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Inanspruchnahme von Notaufnahmen: Ist die Notfallstufe relevant?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月6日

查看全文
  • Kalina Witt,
  • Sarah Oslislo,
  • Johannes Hagelskamp,
  • Manuel Holder,
  • Christian Pfeiffer,
  • Michael Bayeff-Filloff,
  • Stephan Bayerl,
  • Viktoria Bogner-Flatz,
  • Harald Dormann,
  • Rene Hartensuer,
  • Thomas Händl,
  • Steffen Herdtle,
  • Malte Müller,
  • Marleen Pfeiffer,
  • Felix Rockmann,
  • Peter Rupp,
  • Rajan Somasundaram,
  • Edgar Steiger,
  • Martin Steiner,
  • Markus Wehler,
  • Markus Wörnle,
  • Christian Wrede,
  • Markus Zimmermann,
  • Dominik v. Stillfried,
  • Matthias Klein,
  • Michael Dommasch

摘要

Background

The directives of the Federal Joint Committee (G-BA) define tiered emergency care structures, but their influence on patient decision-making has not been sufficiently studied.

Objective (research question)

This study examined patient-related determinants of utilising emergency departments (ED) of different emergency levels in Bavaria.

Materials and methods

From September to November 2024, we carried out a standardised, cross-sectional survey in 18 ED at basic, extended and comprehensive care levels (n = 7527 participants). Data were analysed descriptively and with multinomial logistic regression. Subjective urgency, reason for visit, travel time and mode of arrival were included as influencing factors.

Results

15.4% of respondents who visited the ED independently (n = 5300) chose to do so because of the expected specialization. Patients in comprehensive EDs used emergency medical services significantly more often, rated their urgency higher and more frequently reported neurological, urological or ophthalmological complaints. They accepted longer travel times and were less likely to have sought outpatient care beforehand.

Discussion

The choice of emergency level is chiefly influenced by subjective urgency, specialty-related complaint types, mode of arrival and institutional structure. Even the existing heterogeneity among institutions exerts a steering effect. Future management concepts—such as integrated emergency centres—should incorporate these patient preferences and regional care realities to enable need-oriented direction without undersupply.