Accessibility and demand at an Emergency Care Unit: the user's perspective

AIM: To analyze the search for Emergency Care (EC) in the Western Health District of Ribeirão Preto (São Paulo), in order to identify the reasons why users turn to these services in situations that are not characterized as urgencies and emergencies. METHODS: A qualitative and descriptive study was undertaken. A guiding script was applied to 23 EC users, addressing questions related to health service accessibility and welcoming, problem solving, reason to visit the EC and care comprehensiveness. RESULTS: The subjects reported that, at the Primary Health Care services, receiving care and scheduling consultations took a long time and that the opening hours of these services coincide with their work hours. At the EC service, access to technologies and medicines was easier. CONCLUSION: Primary health care services have been unable to turn into the entry door to the health system, being replaced by emergency services, putting a significant strain on these services' capacity.

What is New and Innovative in Emergency Neurosurgery? Emerging Diagnostic Technologies Provide Better Care and Influence Outcome: A Specialist Review

The development of emergency medical services and especially neurosurgical emergencies during recent decades has necessitated the development of novel tools. Although the gadgets that the neurosurgeon uses today in emergencies give him important help in diagnosis and treatment, we still need new technology, which has rapidly developed. This review presents the latest diagnostic tools, which offer precious help in everyday emergency neurosurgery practice. New ultrasound devices make the diagnosis of haematomas easier. In stroke, the introduction of noninvasive new gadgets aims to provide better treatment to the patient. Finally, the entire development of computed tomography and progress in radiology have resulted in innovative CT scans and angiographic devices that advance the diagnosis, treatment, and outcome of the patent. The pressure on physicians to be quick and effective and to avoid any misjudgement of the patient has been transferred to the technology, with the emphasis on developing new systems that will provide our patients with a better outcome and quality of life.

Receipt for medical services, 1799 September

Two copies of a handwritten receipt signed by Dr. William Gamage (Harvard AB 1767) for "medicine and attendance" for Loammi Baldwin's son in September 1799.

Better planning and management needed by the Veterans Administration to improve use of specialized medical services; report to the Congress,

Publication date stamped on t.p.

Impact of air pollution on the consumption of medical services : cost of hospitalization in the Portland metropolitan area /

Mode of access: Internet.

Emergency room procedures in chemical hazard emergencies : a job aid.

Mode of access: Internet.

State estimates of disability and utilization of medical services, United States, 1969-71 : derived from the Health Interview Survey.

Issued Jan. 1977.

Review of the Government's rights and practices concerning recovery of the cost of hospital and medical services in negligent third-party cases /

"May 1960."

Health moblilization program for emergency hospital management.

Material prepared for a training course held at Eastern Instructor Training Center, Brooklyn, N.Y., December 4-9, 1960.

Emergency care systems demonstration projects. Volume 2: the emergency care system. Final report.

National Highway Safety Bureau, Washington, D.C.

Emergency care systems demonstration projects. Volume 3: operational plans. Final report.

National Highway Safety Bureau, Washington, D.C.

Description and analysis of eighteen proven emergency ambulance service systems. Volume I of II.

National Highway Safety Bureau, Washington, D.C.

Description and analysis of eighteen proven emergency ambulance service systems.

National Highway Safety Bureau, Washington, D.C.

The medical consequences of car crashes: an automobile crash trauma study. Final report. Volume III.

National Highway Traffic Safety Administration, Washington, D.C.

The medical consequences of car crashes: an automobile crash trauma study. Final report. Volume IV.

National Highway Traffic Safety Administration, Washington, D.C.