Letters
Parents practise triage for paediatric attendances
EDITOR,--We agree with Jeremy Dale and colleagues that there is considerable overlap between the conditions presenting to primary care and those presenting to accident and emergency departments.1 We would point out, however, that, like many other authors, Dale and colleagues have drawn conclusions using information collected from only one side of the interface between primary and secondary care.
Our own study of paediatric attendances in accident and emergency was also a prospective study but examined attendance and process measures in primary care simultaneously to provide a more complete picture of the use of health care services by this group of patients.2 Dale and colleagues point out that triage can be used to differentiate patients into primary care and accident and emergency groups. The results of our study suggest that parents already practise a form of triage before seeking medical help. For example, over six weeks 730 children from the study
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- Primary care in the accident and emergency department: I. Prospective identification of patients
- Jeremy Dale, Judith Green, Fiona Reid, and Edward Glucksman
BMJ 1995 311: 423-426.[Abstract] [Full Text]
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