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Overuse of the Emergency Department (ED) places an unnecessary workload on staff that compromises the quality of patient care and is largely avoidable with better general practitioner (GP) use. This paper aims to evaluate the motives behind patients self-referring to the ED with non-urgent complaints as a substitution for seeking treatment from a GP. A collation of the current and existing New Zealand (NZ) research with support from international sources was reviewed and found four major motives behind inappropriate ED attendance: poor GP accessibility, misperception of health concerns, financial considerations, and dissatisfaction with GPs. The role of the NZ Government, EDs, and GPs have room for further development to combat this problem. Through collaboration, these three agents of healthcare have the potential to improve appropriate use of ED and GP services through education, promoting accessibility, and improving trust in GPs.

Inappropriate Attenders: Motives Behind Seeking Emergency Care