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Background <p>The utilisation of emergency departments (ED) by patients with non-life-threatening conditions poses an increasing challenge. The aim of this study was to examine the reasons for ED visits, subjective urgency, prior use of primary care services, awareness of the 116117 (urgent care telephone number in Germany), and willingness to use digital self-assessment among patients in Bavarian EDs.</p> Methods <p>In a&#xa0;multicentre cross-sectional survey, patients in 18&#xa0;Bavarian EDs were surveyed using a&#xa0;standardized questionnaire between September and November 2024.</p> Results <p>Of 7527 patients surveyed, 49.7% were female and 32.6% had a&#xa0;higher education. The main reasons for ED visits were symptom severity (49.6%) and health-related anxiety (23.9%). In all, 88.0% assessed their concern as at least “urgent” or “emergency”, and 39.7% of respondents had previously attempted to reach a&#xa0;physician’s practice. The telephone number 116117 was known to 61.8% of respondents, with significant differences regarding age, education, migration background, and online research; 23.7% were generally open to digital self-assessment.</p> Discussion <p>The results show that subjectively perceived symptom severity and health-related anxieties are central motives for ED consultations. The moderate awareness level of 116117 with pronounced sociodemographic disparities indicates untapped potential for patient flow-management.</p> Conclusion <p>The study emphasises the potential and the need to improve awareness of 116117 and the implementation of digital decision support tools for more efficient allocation of patients within emergency care services.</p>

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Patientenbefragung in bayerischen Notaufnahmen: Inanspruchnahme aufgrund hoher subjektiver Dringlichkeit bei moderater Bekanntheit der 116117

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月12日

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  • 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,
  • Martin Steiner,
  • Markus Wehler,
  • Markus Wörnle,
  • Christian Wrede,
  • Markus Zimmermann,
  • Dominik v. Stillfried,
  • Michael Dommasch,
  • Matthias Klein

摘要

Background

The utilisation of emergency departments (ED) by patients with non-life-threatening conditions poses an increasing challenge. The aim of this study was to examine the reasons for ED visits, subjective urgency, prior use of primary care services, awareness of the 116117 (urgent care telephone number in Germany), and willingness to use digital self-assessment among patients in Bavarian EDs.

Methods

In a multicentre cross-sectional survey, patients in 18 Bavarian EDs were surveyed using a standardized questionnaire between September and November 2024.

Results

Of 7527 patients surveyed, 49.7% were female and 32.6% had a higher education. The main reasons for ED visits were symptom severity (49.6%) and health-related anxiety (23.9%). In all, 88.0% assessed their concern as at least “urgent” or “emergency”, and 39.7% of respondents had previously attempted to reach a physician’s practice. The telephone number 116117 was known to 61.8% of respondents, with significant differences regarding age, education, migration background, and online research; 23.7% were generally open to digital self-assessment.

Discussion

The results show that subjectively perceived symptom severity and health-related anxieties are central motives for ED consultations. The moderate awareness level of 116117 with pronounced sociodemographic disparities indicates untapped potential for patient flow-management.

Conclusion

The study emphasises the potential and the need to improve awareness of 116117 and the implementation of digital decision support tools for more efficient allocation of patients within emergency care services.