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This study identified the drivers of 'clinically unnecessary' use of emergency and urgent care as symptom, patient and health service related, and concluded that reasons sometimes differ by population subgroup.

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Alicia O’Cathain 1,*, Emma Knowles 1, Jaqui Long 1, Janice Connell 1, Lindsey Bishop-Edwards 1, Rebecca Simpson 1, Joanne Coster 1, Linda Abouzeid 2, Shan Bennett 2, Elizabeth Croot 1, Jon M Dickson 3, Steve Goodacre 1, Enid Hirst 2, Richard Jacques 1, Miranda Phillips 4, Joanne Turnbull 5, Janette Turner 1

1 School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK
2 Sheffield Emergency Care Forum, Sheffield, UK
3 Academic Unit of Primary Medical Care, University of Sheffield, Sheffield, UK
4 National Centre for Social Research, London, UK
5 Health Sciences, University of Southampton, Southampton, UK
* Corresponding author Email: a.ocathain@sheffield.ac.uk

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