Patients with musculoskeletal disorders represent a considerable percentage of emergency department volume. Although patients
with acute or high-severity conditions are encouraged to seek care in the emergency department, patients with nonacute, low-severity
conditions may be better served elsewhere. This study prospectively assessed patients presenting to the emergency department
with nonacute, low-severity musculoskeletal conditions to test the hypothesis that these patients have access to care outside
the emergency department. One thousand ten adult patients with a musculoskeletal complaint were identified, and a detailed
questionnaire was completed by 862 (85.3%) during their emergency department stay. Three hundred fifty (40.6%) patients presented
with nonacute, low-severity conditions. Patients with nonacute, low-severity problems were less likely to have a primary care
physician (62.5% versus 72.3%) or to have medical insurance (82.5% versus 87.7%), but a majority had both (59.3%). Only 14.3%
had neither. Forty-four percent of all patients with primary care physicians believed their primary care physician was incapable
of managing musculoskeletal problems. Appropriate use of the emergency department by patients with musculoskeletal disorders
may require not only increased access to insurance and primary care, but also improved public understanding of the scope of
care offered by primary care physicians and the conflicting demands placed on emergency department providers.
Level of Evidence: Level I, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest,
patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations
were conducted in conformity with ethical principles of research, and that informed consent was obtained.