Factors Influencing Urban Community Dwelling Elders Emergency Department Utilization

2.50
Hdl Handle:
http://hdl.handle.net/10755/163408
Category:
Abstract
Type:
Presentation
Title:
Factors Influencing Urban Community Dwelling Elders Emergency Department Utilization
Author(s):
D'Avolio, Deborah A.; Feldman, James; Mitchell, Patricia; Easow, Jeena
Author Details:
Deborah A. D'Avolio, PhD, APRN, Assistant Professor, MGH Institute of Health Professions Graduate Program in Nursing, Boston, Massachusetts, USA, email: ddavolio@mghihp.edu; James Feldman, MD; Patricia Mitchell, RN; Jeena Easow, MPH
Abstract:
Purpose: An interdisciplinary team of researchers comprised of nursing, medicine, and public health conducted this study to explore and understand the reasons why older adult patients seek care in the emergency department (ED) with non-urgent medical conditions. Theoretical Framework: The Andersen Behavioral Model was the conceptual framework that guided this study. It suggests that use of health services is a function of one's predisposition to use services, issues that facilitate or block use, and the need for health care. Methods (Design, Sample, Setting, Measures, Analysis): The specific aims of this study: describe the socio-demographic characteristics of elders seeking care in the ED, identify factors associated with use and outcomes of ED visit, determine contributions of access issues, ED utilization, and perceived health related quality of life. A sample of 40 older adults who met inclusion criteria were enrolled. In phase one, 2 survey tools were completed: factors influencing ED use and the CDC health-related quality of life measure. In phase two, 30 days after the ED visit, patient records were reviewed to determine any subsequent ED or clinic visits. Subjects were contacted via phone to complete a questionnaire regarding access to care following the ED visit. Results: Data collection has been completed. Data will be analyzed using descriptive and inferential statistics. The primary outcome of interest is ED utilization pattern. We will examine the associations between ED use, age, gender, race, ethnicity, access to care. Conclusions and Implications: To identify predictors of ED use and develop interventions to reduce the use of ED for non-urgent care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFactors Influencing Urban Community Dwelling Elders Emergency Department Utilizationen_GB
dc.contributor.authorD'Avolio, Deborah A.en_US
dc.contributor.authorFeldman, Jamesen_US
dc.contributor.authorMitchell, Patriciaen_US
dc.contributor.authorEasow, Jeenaen_US
dc.author.detailsDeborah A. D'Avolio, PhD, APRN, Assistant Professor, MGH Institute of Health Professions Graduate Program in Nursing, Boston, Massachusetts, USA, email: ddavolio@mghihp.edu; James Feldman, MD; Patricia Mitchell, RN; Jeena Easow, MPHen_US
dc.identifier.urihttp://hdl.handle.net/10755/163408-
dc.description.abstractPurpose: An interdisciplinary team of researchers comprised of nursing, medicine, and public health conducted this study to explore and understand the reasons why older adult patients seek care in the emergency department (ED) with non-urgent medical conditions. Theoretical Framework: The Andersen Behavioral Model was the conceptual framework that guided this study. It suggests that use of health services is a function of one's predisposition to use services, issues that facilitate or block use, and the need for health care. Methods (Design, Sample, Setting, Measures, Analysis): The specific aims of this study: describe the socio-demographic characteristics of elders seeking care in the ED, identify factors associated with use and outcomes of ED visit, determine contributions of access issues, ED utilization, and perceived health related quality of life. A sample of 40 older adults who met inclusion criteria were enrolled. In phase one, 2 survey tools were completed: factors influencing ED use and the CDC health-related quality of life measure. In phase two, 30 days after the ED visit, patient records were reviewed to determine any subsequent ED or clinic visits. Subjects were contacted via phone to complete a questionnaire regarding access to care following the ED visit. Results: Data collection has been completed. Data will be analyzed using descriptive and inferential statistics. The primary outcome of interest is ED utilization pattern. We will examine the associations between ED use, age, gender, race, ethnicity, access to care. Conclusions and Implications: To identify predictors of ED use and develop interventions to reduce the use of ED for non-urgent care.en_GB
dc.date.available2011-10-27T11:07:03Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:07:03Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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