Between two and three million children attend accident and emergency (A&E) departments every year in the United Kingdom, making up one quarter of all A&E attendances (Bentley 1996). Despite government, professional and consumer guidance (Audit Commission 1996, Action for Sick Children 1997), the majority of children are not seen in a children's A&E or cared for by appropriately-trained staff. This study explored the pattern of attendance of 375 children aged five years and under who attended the A&E department in a district general hospital. Issues of service provision and quality of care were also explored using secondary data from A&E records. Key findings were that one third of the children were triaged with non-urgent illness, suggesting a need for improved access to GP services and that a number of children were referred by GPs and admitted via A&E rather than directly to the paediatric ward. Although waiting times were generally short, many children did not appear to receive analgesia, suggesting the need for improved pain assessment and management.
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JMIR Res Protoc
January 2025
Clinical Informatics and Health Outcomes Research Group, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
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Department of Orthopaedics, Dongguk University Ilsan Hospital, Dongguk-Ro 27, Goyang, Republic of Korea.
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Int J Health Econ Manag
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Department of Humanities and Social Sciences, Indian Institute of Technology Kharagpur, Kharagpur, 721302, India.
Public expenditure for the improvement of maternal health is crucial in addressing the major social and demographic challenges in developing countries like India. Accordingly, the Government of India initiated the Janani Suraksha Yojana (JSY) in 2005 as a flagship conditional cash transfer scheme to encourage institutional delivery in the country. While the provisions under the JSY remain uniform throughout the country, there are apprehensions that the impact would differ across the states as well as between the rural and urban setups depending on varied socio-economic conditions and local level dynamics.
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