Access

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

"Help": The Hospital Emergency Unit Patient and His Presenting Picture

David George Satin
Medical Care
Vol. 11, No. 4 (Jul. - Aug., 1973), pp. 328-337
Stable URL: http://www.jstor.org/stable/3762493
Page Count: 10
  • More info
  • Cite this Item
"Help": The Hospital Emergency Unit Patient and His Presenting Picture
Preview not available

Abstract

It is hypothesized that illness behavior in the general hospital emergency unit, no less than in other medical settings, is influenced by background factors and priorities of the applicants for care. Our intention is to assess the relative importance among these factors and to identify their effects on the applicant's presenting picture. A methodology for studying this setting is described. A wide range of applicant demographic, social, economic, agency-use, and recent life stress background data is reported. Presenting complaints are reported through the eyes of the applicant, and mental status is assessed. High-need, low-resource-availability, and high-institution-use groups are identified, and a high incidence of recent life stresses is discovered. Presenting pictures show a broad range of needs and the influence of non-illness factors. Analysis shows covert recent life stress as the major predictor of the presenting picture, with a background of special needs an additional factor. These findings are interpreted in the light of Crisis Theory. The need for careful attention to social-emotional background in the interests of good emergency medical care is highlighted.

Page Thumbnails

  • Thumbnail: Page 
328
    328
  • Thumbnail: Page 
329
    329
  • Thumbnail: Page 
330
    330
  • Thumbnail: Page 
331
    331
  • Thumbnail: Page 
332
    332
  • Thumbnail: Page 
333
    333
  • Thumbnail: Page 
334
    334
  • Thumbnail: Page 
335
    335
  • Thumbnail: Page 
336
    336
  • Thumbnail: Page 
337
    337