Otorhinolaryngology emergency unit care: The experience of a large university hospital in Italy

Andrea Gallo, Rossana Moi, Antonio Minni, Marilia Simonelli, Marco De Vincentiis

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

We recorded the symptoms and disposition of every patient who visited the otorhinolaryngology emergency department at our hospital in Rome, Italy, during 1996. During that time, our ENT specialists saw 21,548 patients. Only 311 of these patients (1.4%) required immediate hospitalization, while another 2,391 patients (11.1%) received treatment and were released. The other 18,846 patients (87.5%) did not have any pathology or condition that qualified as an actual emergency, and they were examined and released, often with a prescription or instructions for home care. These patients could have easily been treated by a family physician. The fact that emergency care in Italy is rendered free of charge (unlike ambulatory care, for which fees are charged) provides patients with a strong incentive to misuse the system. Such overutilization drives up the cost of health care and stretches the capacity of the medical staff. Steps need to be taken to redirect patients who misuse emergency services to seek medical care in ambulatory care centers.

Original languageEnglish
Pages (from-to)155-160
Number of pages6
JournalEar, Nose and Throat Journal
Volume79
Issue number3
Publication statusPublished - Mar 2000

Fingerprint

Otolaryngology
Emergency Medical Services
Italy
Hospital Emergency Service
Ambulatory Care
Emergencies
Fees and Charges
Medical Staff
Family Physicians
Home Care Services
Health Care Costs
Prescriptions
Motivation
Hospitalization
Pathology

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Gallo, A., Moi, R., Minni, A., Simonelli, M., & De Vincentiis, M. (2000). Otorhinolaryngology emergency unit care: The experience of a large university hospital in Italy. Ear, Nose and Throat Journal, 79(3), 155-160.

Otorhinolaryngology emergency unit care : The experience of a large university hospital in Italy. / Gallo, Andrea; Moi, Rossana; Minni, Antonio; Simonelli, Marilia; De Vincentiis, Marco.

In: Ear, Nose and Throat Journal, Vol. 79, No. 3, 03.2000, p. 155-160.

Research output: Contribution to journalArticle

Gallo, A, Moi, R, Minni, A, Simonelli, M & De Vincentiis, M 2000, 'Otorhinolaryngology emergency unit care: The experience of a large university hospital in Italy', Ear, Nose and Throat Journal, vol. 79, no. 3, pp. 155-160.
Gallo A, Moi R, Minni A, Simonelli M, De Vincentiis M. Otorhinolaryngology emergency unit care: The experience of a large university hospital in Italy. Ear, Nose and Throat Journal. 2000 Mar;79(3):155-160.
Gallo, Andrea ; Moi, Rossana ; Minni, Antonio ; Simonelli, Marilia ; De Vincentiis, Marco. / Otorhinolaryngology emergency unit care : The experience of a large university hospital in Italy. In: Ear, Nose and Throat Journal. 2000 ; Vol. 79, No. 3. pp. 155-160.
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