2.50
Hdl Handle:
http://hdl.handle.net/10755/162611
Type:
Presentation
Title:
Characteristics of Patients and Frequency of Use of Emergency Services
Abstract:
Characteristics of Patients and Frequency of Use of Emergency Services
Conference Sponsor:Emergency Nurses Association
Conference Year:1995
Author:Tillman, Melinda
P.I. Institution Name:University of Texas Medical Branch at Galveston
Contact Address:301 University Blvd., Galveston, TX, 77555, USA
Purpose: The primary purpose of this study was to describe patients who sought care in the Emergency Department (ED) during the study period and to quantify the frequency of ED visits by individuals during that year. The secondary purpose was to analyze frequency of use patterns over a ten year period.

Design, Setting and Sample: This study retrospectively investigated patient characteristics and frequency of ED use during the period September 1, 1992 to August 31, 1993. Additionally, the study examined frequency of ED visits by individuals over a ten year period. The setting of this study was the Level I ED of an urban university-affiliated teaching hospital in the southern United States. All patients registered for services in the ED during the study periods were included. In the most recent one year period, 41,896 people made 63,551 visits.

Methodology: This study involved reviewing extant data in the hospital information system. Data points included demographic variables of age, race, sex, marital status, county of residence and third party payer status. A count of ED visits per year by individuals was performed for ten one year periods from 1983 to 1993. Data analysis involved simple counts, percentages and means. Statistical tests were primarily Chi Square.

Results: Fewer than 50% of all patients treated in this ED made only one visit within the fiscal year. Approximately 22% of the patients made two visits. The remaining 29% of patients received treatment in the ED three or more times. This pattern was stable +/- 1% over the ten year period. The highest users (0.9-1.0% of the total number of patients) came seven or more times. The highest frequency of visits by a single individual in a year ranged from 47 to 93. Patient characteristics associated with higher frequency of ED use included marital status, race, geographic proximity, and payer status. Persons formerly married were overrepresented in the higher frequency of use categories. High users were more likely to live close to the hospital. Ethnicity was also a factor with blacks being overrepresented and Asians being underrepresented in the high use categories. Individuals enrolled in government assistance programs were more likely to be higher users than those with private insurance or no insurance.

Conclusions: A health care delivery system must truly understand its clientele in order to meet the needs of the community. From a socioeconomic standpoint, there is disproportionate use of ED services by individuals with certain characteristics. It is reasonable to conclude that frequent use of ED services is a symptom of system designs which do not meet the needs of the clientele. [Research Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCharacteristics of Patients and Frequency of Use of Emergency Servicesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162611-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Characteristics of Patients and Frequency of Use of Emergency Services</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1995</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tillman, Melinda</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Texas Medical Branch at Galveston</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">301 University Blvd., Galveston, TX, 77555, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">res@ena.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The primary purpose of this study was to describe patients who sought care in the Emergency Department (ED) during the study period and to quantify the frequency of ED visits by individuals during that year. The secondary purpose was to analyze frequency of use patterns over a ten year period.<br/><br/>Design, Setting and Sample: This study retrospectively investigated patient characteristics and frequency of ED use during the period September 1, 1992 to August 31, 1993. Additionally, the study examined frequency of ED visits by individuals over a ten year period. The setting of this study was the Level I ED of an urban university-affiliated teaching hospital in the southern United States. All patients registered for services in the ED during the study periods were included. In the most recent one year period, 41,896 people made 63,551 visits.<br/><br/>Methodology: This study involved reviewing extant data in the hospital information system. Data points included demographic variables of age, race, sex, marital status, county of residence and third party payer status. A count of ED visits per year by individuals was performed for ten one year periods from 1983 to 1993. Data analysis involved simple counts, percentages and means. Statistical tests were primarily Chi Square.<br/><br/>Results: Fewer than 50% of all patients treated in this ED made only one visit within the fiscal year. Approximately 22% of the patients made two visits. The remaining 29% of patients received treatment in the ED three or more times. This pattern was stable +/- 1% over the ten year period. The highest users (0.9-1.0% of the total number of patients) came seven or more times. The highest frequency of visits by a single individual in a year ranged from 47 to 93. Patient characteristics associated with higher frequency of ED use included marital status, race, geographic proximity, and payer status. Persons formerly married were overrepresented in the higher frequency of use categories. High users were more likely to live close to the hospital. Ethnicity was also a factor with blacks being overrepresented and Asians being underrepresented in the high use categories. Individuals enrolled in government assistance programs were more likely to be higher users than those with private insurance or no insurance.<br/><br/>Conclusions: A health care delivery system must truly understand its clientele in order to meet the needs of the community. From a socioeconomic standpoint, there is disproportionate use of ED services by individuals with certain characteristics. It is reasonable to conclude that frequent use of ED services is a symptom of system designs which do not meet the needs of the clientele. [Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:31:06Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:31:06Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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