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Patient Use of a Paediatric Hospital Casualty Department in the East End of London

Authors:	BOWLING, ANN ISAACS, DAVID ARMSTON, JANE ROBERTS, JANE E ELLIOTT, ELIZABETH J

Affiliation:	Queen Elizabeth Hospital for Children Hackney Road, London, England ^*Department of Paediatrics, John Radcliffe Hospital Headington, Oxford, England $"{dagger}"$ Department of Paediatrics, St Bartholomew's Hospital West Smithfield, London, England $"{ddagger}"$ Bethlem Royal Hospital Monks Orchard Road, Beckenham, Kent, England

Abstract:	This paper describes two surveys carried out at the accidentand emergency department of Queen Elizabeth Hospital, a specialistchildren's hospital situated in the east end of London. Bothstudies explored factors influencing attendance at the accidentand emergency department. One was based on an analysis of recordedinformation (hospital notes) for a random sample of attenders,spread over a 12-month period. The second was based on personalinterviews with a sample of children's parents. Both studiesfound problems with access to general practitioner care to bethe main factors influencing attendance.

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