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International Journal for Quality in Health Care 9:225-235 (1997)
© 1997 International Society for Quality in Health Care

research-article

Another Look at Emergency Room Overcrowding: Accessibility of the Health Services and Quality of Care

P. LOMBRAIL*,{dagger},{ddagger},, C. VITOUX-BROT§, A. BOURRILLON§,¶, M. BRODIN*,{dagger} and G. DE POUVOURVILLE{ddagger}

*Public Health Service, Robert Debré Hospital Paris, France
{dagger}Public Health Department, Bichat Medical School Paris, France
{ddagger}Groupe Image, National School of Public Health Saint-Maurice, France
§Emergency Room Department, Robert Debré Hospital Paris, France
Department of Pediatrics, Lariboisière-Saint-Louis Medical School Paris, France

Purpose: To describe both the social characteristics and the health needs of the medical users of a pediatric hospital Emergency Room with special emphasis on frequent use.

Study selection: Observational study on health services utilization and health care needs of young children consulting at a teaching hospital's Emergency Room.

Data sources: Mother interview and medical record review.

Results of data synthesis: Children from underprivileged strata are more often high Emergency Room users. Their preventive needs are satisfied but adequate follow-up of their medical problems is more often lacking.

Conclusion: To understand why some achievable benefits are not achieved it is necessary to evaluate the varying performance of health services according to the social origin of the users. © 1997 Elsevier Science Ltd.

Keywords: Quality of care, hospital, emergency room, accessibility of care, health inequalities

*Correspondence to: Dr Pierre Lombrail, Départment de santé publique, Faculté de médecine Xavier Bichat, BP 416, 75870 Paris Cedex 18, France.

Received for publication July 15, 1996. Accepted for publication February 3, 1997.


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