Information/education is great (and getting better).  Most people's 
simple lithmus test to visiting the ER tends to be "do I have a problem
that is bad enough to wait 4-6 hours, or will my doctors offfice be open
before that.... and will they see me today).  

I don't want people to think of this purely from an "I have 
insurance and a choice" point of view.  As clinics continue to 
limit/decline Medicaid, or require  full payment for non-insured 
(can be $90-200 for an office visit), people see limited alternatives 
to the ER.  Public/County hospitals cannot turn people away so those 
who cannot afford care usually see it as their only alternative- if they 
can't find care in other places.  In the clinic where I work I see people 
who don't feel they can afford to see a physician about things like 
chest and arm pain, and I think education for heart attacks has been 
some of the best conveyed materials over the past 15-20 years.

Dee


On 21 Jan 2003 at 15:28, Jean-Louis Couturier wrote:

> At 09:43 2003-01-20 -0600, Reggie wrote:
> >But to get back to Nick's original point, a lot more could be done by
> > insurance companies to educate patients about when they need to go
> >to the emergency room, and when a visit to a clinic or to a "primary
> >care physician" would be more appropriate.  But how do educate people
> >without insurance about going to a clinic vs. going to an emergency
> >room?  The only methods I can think of are PSAs (Public Service
> >Announcements) on TV and radio, and maybe brochures in emergency
> >rooms saying something like "If you have these symptoms, you're in
> >the right place.  If you have these other symptoms, you might want to
> >consider a clinic or a visit to your regular doctor."  Maybe there
> >can be several brochures based on general symptom, sort of like the
> >fliers found in some drugstores with general info about various
> >diseases.
> >
> >Any other ideas?
> >
> >Reggie Bautista
> 
> You could have a HealthCare Hotline staffed with nurses and/or doctors
> so that the common stuff can be taken care of without actually getting
> out to a hospital or clinic.
> 
> We have one here and it works relatively well, for those peole who
> take the time to use it.

We have one as well, NHS Direct. They've been quite helpful as well.

Andy
Dawn Falcon

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