A STUDY OF PATIENTS WHO COME BY CHOICE TO THE CASUALTY DEPARTMENT OF THE ROYAL MELBOURNE HOSPITAL

Abstract

A survey of patients presenting by choice to the casualty department was conducted at the Royal Melbourne Hospital. Those who come are mainly from a lower socioeconomic group, but a significant number comes from a higher socioeconomic group. Most present with complaints which do not require immediate and lifesaving attention, but of a type to be found in general practice. When motivations to come to hospital are examined, socioeconomic status is of less importance than lack of a doctor. There are two main reasons for choosing to come to the casualty department: first, the lack of appropriate facilities within the community; secondly, the expectations of patients who use this service, The implications of these findings are explored.