Reasons Military Patients with Primary Care Access Leave an Emergency Department Waiting Room Before Seeing a Provider

Abstract

Objectives: Our objective was to assess patients understanding of emergency department (ED) wait times and why patients may leave the waiting room before seeing a provider. Methods: Survey of patients in the ED waiting room of an urban tertiary care military hospital where civilian and military patients are treated. Results: A total of 508/517 surveys (98%) were completed. Age ranges were 18 to 35 years (49%), 36 to 60 (31%), or older than 60 (20%). Education levels were high school (20%), some college (37%), or college graduate (39%). Of 503 respondents, 125 (25%) had left an ED waiting room before seeing a provider. The reasons included excessive wait times (91%) and family responsibilities (5%). Five hundred eight reported the factors that would motivate them to wait to see the physician (not leave without being seen [LWOBS]) were the severity of illness (64%), and if they received an update of wait times (26%); 82% (391/480) understood that severely ill patients were seen first. Patients attributed long wait times to doctors and nurses caring for other patients (292/583, 50%) and insufficient physician and nurse staffing (245, 42%). Of 802 responses for ideas to improve the wait, 34% said regular updates on estimated wait times, 21% said television shows or movies to view, 20% said books and magazines to read, and 11% said computers to access. Conclusions: Long wait times were the primary reason that patients left before seeing a provider, despite having ready access to care. Respondents attributed long wait times to patient volume and inadequate staffing. Regular updates on wait times and material for entertainment may improve the waiting experience and reduce LWOBS.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2012
Accession Number
ADA616145

Entities

People

  • Rebecca L. Pitotti
  • Shawn M. Varney
  • Toni E. Vargas
  • Vikhyat S Bebarta

Organizations

  • United States Army Institute of Surgical Research

Tags

DTIC Thesaurus Topics

  • Computers
  • Delivery Of Health Care
  • Department Of Veterans Affairs
  • Education
  • Emergencies
  • Emergency Medicine
  • Health Care
  • Health Maintenance Organizations
  • Health Services
  • Hospitals
  • Medical Personnel
  • Military Hospitals
  • Military Medicine
  • Military Personnel
  • Physicians
  • Spreadsheet Software
  • United States

Fields of Study

  • Medicine
  • Political science

Readers

  • Educational Psychology
  • Trauma or Military Medicine