Marilù Guigli Poretti, Matteo Monti, Marta Fadda
Exploring clinical teachers' beliefs about teaching in a newly established medical school in Southern Switzerland
BMC medical education
high utilization emergency departments lowacuity patients remains major challenge health care system surveys treatment urgency show considerable part emergency department population could also cared outpatient sector little known contributing circumstances nonutilization outpatient care despite indication expression health literacy often called explain nonurgent use emergency departments extent distinguished commitment primary care might moderating effect currently known data secondary evaluation nonurgent emergency department population taken crosssectional observational study pino nord patients emergency departments hospitals northern germany scherer et al 2017 five hospitals hamburg federal state schleswigholstein health literacy intensity commitment general practitioner measured selfassessment questionnaires hlseuq16 fhabi addition descriptive data analysis linear regression used estimate intensity commitment general practitioner somatic psychological sociodemographic characteristics population health literacy 548 nonurgent adult patients mean age 415 years 544 men included evaluation 555 sufficient 314 problematic 131 inadequate health literacy 883 population general practitioner higher intensity commitment general practitioner female gender higher subjective urgency treatment better selfefficacy better social support associated higher health literacy associations found regard age household income education migration background current pain degree physical complaints extent health literacy nonurgent sample pino north study population responding hlseuq16 comparable health literacy general population health literacy intensity commitment general practitioner positively associated however intensity gp commitment rather low fact younger respondents likely provide information health literacy availability specialists urban areas could explain findings improving commitment primary care physicians could include providing individualized information navigate health care system could make easier patients choose adequate level care thus steering effect emergency department utilization