Exploring Factors That Drive Nonurgent Emergency Department Use

Nonurgent emergency department (ED) visits continue to rise despite efforts to reduce ED overcrowding. This study aimed to explore factors influencing ED utilization and perceptions of alternative healthcare services among patients of nonurgent ED visits. Conducted at an academic, level-1 trauma cen...

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Main Authors: Carina Mireles-Romo MD, Eddie Hernandez BS, BA, Isabella Choi BS, Jennifer Roh MD, Soheil Saadat MD, Shannon Toohey MD
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/23743735251362529
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author Carina Mireles-Romo MD
Eddie Hernandez BS, BA
Isabella Choi BS
Jennifer Roh MD
Soheil Saadat MD
Shannon Toohey MD
author_facet Carina Mireles-Romo MD
Eddie Hernandez BS, BA
Isabella Choi BS
Jennifer Roh MD
Soheil Saadat MD
Shannon Toohey MD
author_sort Carina Mireles-Romo MD
collection DOAJ
description Nonurgent emergency department (ED) visits continue to rise despite efforts to reduce ED overcrowding. This study aimed to explore factors influencing ED utilization and perceptions of alternative healthcare services among patients of nonurgent ED visits. Conducted at an academic, level-1 trauma center, the study identified nonurgent visits using the emergency severity index 5-level triage acuity scale and utilized a 3-part qualitative survey to gather data on demographics, reasons for ED visits, and perceptions of the ED, primary care physicians (PCPs), and urgent care centers (UCCs). Survey responses from 586 patients were analyzed, demonstrating common themes such as ED accessibility, physician qualifications, and the need for diagnostic testing. Although participants generally expressed satisfaction with PCPs and UCCs, the frequency of nonurgent ED visits remained high. The study suggests that many nonurgent cases could have been managed using alternative healthcare services; additionally, the findings align with existing literature and support the need for enhanced patient education on appropriate ED use and the benefits of utilizing alternative healthcare options.
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spelling doaj-art-d8c4e364d6174851aed5dfa5b653021b2025-08-20T03:14:02ZengSAGE PublishingJournal of Patient Experience2374-37432025-07-011210.1177/23743735251362529Exploring Factors That Drive Nonurgent Emergency Department UseCarina Mireles-Romo MD0Eddie Hernandez BS, BA1Isabella Choi BS2Jennifer Roh MD3Soheil Saadat MD4Shannon Toohey MD5 Department of Emergency Medicine, , Orange, CA, USA Department of Emergency Medicine, , Orange, CA, USA Department of Emergency Medicine, , Orange, CA, USA Department of Emergency Medicine, , Torrance, CA, USA Department of Emergency Medicine, , Orange, CA, USA Department of Emergency Medicine, , Orange, CA, USANonurgent emergency department (ED) visits continue to rise despite efforts to reduce ED overcrowding. This study aimed to explore factors influencing ED utilization and perceptions of alternative healthcare services among patients of nonurgent ED visits. Conducted at an academic, level-1 trauma center, the study identified nonurgent visits using the emergency severity index 5-level triage acuity scale and utilized a 3-part qualitative survey to gather data on demographics, reasons for ED visits, and perceptions of the ED, primary care physicians (PCPs), and urgent care centers (UCCs). Survey responses from 586 patients were analyzed, demonstrating common themes such as ED accessibility, physician qualifications, and the need for diagnostic testing. Although participants generally expressed satisfaction with PCPs and UCCs, the frequency of nonurgent ED visits remained high. The study suggests that many nonurgent cases could have been managed using alternative healthcare services; additionally, the findings align with existing literature and support the need for enhanced patient education on appropriate ED use and the benefits of utilizing alternative healthcare options.https://doi.org/10.1177/23743735251362529
spellingShingle Carina Mireles-Romo MD
Eddie Hernandez BS, BA
Isabella Choi BS
Jennifer Roh MD
Soheil Saadat MD
Shannon Toohey MD
Exploring Factors That Drive Nonurgent Emergency Department Use
Journal of Patient Experience
title Exploring Factors That Drive Nonurgent Emergency Department Use
title_full Exploring Factors That Drive Nonurgent Emergency Department Use
title_fullStr Exploring Factors That Drive Nonurgent Emergency Department Use
title_full_unstemmed Exploring Factors That Drive Nonurgent Emergency Department Use
title_short Exploring Factors That Drive Nonurgent Emergency Department Use
title_sort exploring factors that drive nonurgent emergency department use
url https://doi.org/10.1177/23743735251362529
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