Table 2 Examples of the seven different themes
From: Motives for self-referral to the emergency department: a systematic review of the literature
Theme | Examples cited in articles |
|---|---|
Health concerns | - Perceived severity of problem - Seeking assurance - Patient perceived the complaint was urgent |
Expecting investigations | - Further research (eg X-rays) was necessary - Perceived facilities and investigations better at A&E - See doctor and have tests/x-rays done in same place |
Advice of others | - On the advice of others - Sent by someone (usually employer) - They were referred by the staff (not the doctor) in PCP’s offices to be evaluated in the ED |
Convenience of ED | - Patient could get help earlier at the ED - The ED was nearby - Convenience of access |
Accessibility of GP | - Patient could not reach the GP/GP-cooperative - Unavailability of GP - Too long wait for family doctor |
Financial considerations | - Payment flexibility - Affordability - Low cost |
No confidence in GP | - Patient had no faith/trust in the GP - Previous negative experience with the GP/GP-cooperative - Dissatisfied with GP |