Patient and physician evaluation of urgency cases of patients who come to the emergency service area and improper use of emergency services

Nowadays, the number of patients applying the emergency units has been constantly increasing and overcrowding in emergency departments is a concerning global problem and has been identified as a national crisis in some countries. The non-urgent applicants, the ineffective use of primary health care services, and the blockage caused by patients waiting for emergency services are just a few of the reasons for this crisis. Solution approaches to the emergency service crowd in the literature it is located in a wide range as wide as the reasons. One of these proposals, practice of fast track, is presented in many studies as a solution for rapid treatment of patients, to reduce waiting periods and overcrowding of the emergency service. Our study was planned to prospectively and cross-sectionally, subscribe to for appropriateness of urgency, patients' socio-demographic characteristics that may be affected by this situation and to suggest solutions to the emergency service overcrowding with this data in fast-track of emergency unit of university hospital. In our study, ıt was determined as non-urgent applicants that 65% of the 1281 patients who applied to our clinic and accepted to study. We found the highest rate of women, university graduates, 17-34 age group and singles in nonurgent applications (p<0,05). distance proximity and reliability was the first reasons for choosing. Non-urgent applications are made between 17-20 hours. There was a significant difference between patients and physicians perception of urgency. The patients suggests to for overcrowding of emergency unit that have to increased number of staff. There is no standard method to evaluate urgency. For this reason, requests of patients should be resolve the way that reduce to overcrowding. As a result of our study, our solutions were increase the number of staff and organization of physical structure for fast -track, development of primary health care services, formulated of the referrals, developing and optimizing efficient flow through the emergency unit. 12 KEY WORDS: emergency department, fast-track, emergency service overcrowding