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Socioeconomic disadvantage as a driver of non-urgent emergency department presentations: A retrospective data analysis

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posted on 2023-05-20, 14:31 authored by Maria UnwinMaria Unwin, Elaine CrispElaine Crisp, Jim Stankovich, Damhnat McCannDamhnat McCann, Leigh Kinsman

Background: Globally, emergency departments (EDs) are struggling to meet the service demands of their local communities. Across Australia, EDs routinely collect data for every presentation which is used to determine the ability of EDs to meet key performance indicators. This data can also be used to provide an overall picture of service demand and has been used by healthcare planners to identify local needs and inform service provision, thus, using ED presentations as a microcosm of the communities they serve. The aim of this study was to use ED presentation data to identify who, when and why people accessed a regional Australian ED with non-urgent conditions.

Method and materials: A retrospective data analysis of routinely collected ED data was undertaken. This included data obtained over a seven-year period (July 2009 to June 2016) in comparison with the Australian Bureau of Statistics census data. Analysis included descriptive statistics to identify the profile of non-urgent attendees and linear regression to identify trends in ED usage.

Results: This study revealed a consistently high demand for ED services by people with non-urgent conditions (54.1% of all presentations). People living in the most disadvantaged socioeconomic decile contributed to 36.8% of these non-urgent presentations while those under 25 years of age contributed to 41.1%. Diagnoses of mental health and behavioural issues and of non-specific symptoms significantly increased over the study period (p < 0.001) for both diagnostic groups.

Conclusion: The over-representation by those from the most socioeconomically disadvantaged areas highlights an inequity in access to services. The over-representation by those younger in age indicates behavioural patterns based on age. These key issues faced by our local community and the disparity in current service provision will be used to inform future health policy and service planning.

Funding

Clifford Craig Foundation

History

Publication title

PloS One

Volume

15

Issue

4

Article number

0231429

Number

0231429

Pagination

1-16

ISSN

1932-6203

Department/School

School of Health Sciences

Publisher

Public Library of Science

Place of publication

United States

Rights statement

Copyright 2020 Unwin et al. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

Repository Status

  • Open

Socio-economic Objectives

Evaluation of health and support services not elsewhere classified

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