Characteristics and Predictors of Frequent Utilization of Emergency Services

Milbrett, Pat; Halm, Margo A.

doi:10.1016/j.jen.2008.04.032

Cited by 96 publications

(93 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The current study also agrees with the findings ofMalekshahi and Mohammad-zadeh in 2004, where nurses" knowledge level about triage was also a little above average (53.9%) [20]; and the study of Goransson, Ehrenberg and Ehnfors, which showed participants" knowledge level was 57.7% [19]. In disparity to the current study findings, astudy done by Ali, Taverner, Ghani, Kussor, and Naz [17] revealed a large number of participants (69%) having poor knowledge as [14] which reported that nurses had little knowledge about the hospital triage; 39.94% of the responses to the knowledge level questions were correct in their study. They concluded that nurses are not equipped with the knowledge of triage in the hospitals in Iran.…”

Section: Discussioncontrasting

confidence: 85%

“…Presently most hospitals have EDs which are always overcrowded. This high number of patients visiting the ED can have an impact on the quality of healthcare by channeling the resources intended for emergency cases to individuals who have potentially less urgent needs [14]. Therefore, there is an unanimity that triage is an important system in the ED that reduces waiting times and ensures that all patients visiting to ED receive the proper treatments [3].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perceptions and Knowledge on Triage of Nurses Workingin Emergency Departments of Hospitals in the Tamale Metropolis, Ghana.

Afaya¹,

Azongo²,

Yakong³

2017

IOSR JNHS

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Perceptions and Knowledge on Triage of Nurses Workingin Emergency Departments of Hospitals in the Tamale Metropolis, Ghana.

Afaya¹,

Azongo²,

Yakong³

2017

IOSR JNHS

View full text Add to dashboard Cite

“…9 Younger age, minority status, and publicly insured patients are more likely to recurrently use the ED, especially for common illnesses such as asthma and upper respiratory infections. [9][10][11][12] Little is known about the health care services (eg, medications, testing, and subsequent admission) that frequent users of pediatric EDs experience while in the ED. Understanding the health service needs of frequent users may help inform initiatives to decrease the recurrent use of pediatric EDs.…”

mentioning

confidence: 99%

Characteristics of Recurrent Utilization in Pediatric Emergency Departments

et al. 2014

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Although frequent utilizers of emergency departments (EDs) are targeted for quality improvement initiatives across the United States, little is known about the health services these patients receive in the ED.WHAT THIS STUDY ADDS: Eight percent of children account for 24% of ED visits and 31% of all costs. Frequent utilizers of pediatric EDs, especially infants without a chronic condition, are least likely to need medications, testing, and hospital admission during their ED visits. abstract BACKGROUND AND OBJECTIVE: Nationally, frequent utilizers of emergency departments (EDs) are targeted for quality improvement initiatives. The objective was to compare the characteristics and ED health services of children by their ED visit frequency. METHODS:A retrospective study in 1 896 547 children aged 0 to 18 years with 3 263 330 visits to 37 EDs in 2011. The number of ED visits per child within 365 days of their first visit was counted. Patient characteristics (age, chronic condition) and ED care (medications, testing [laboratory and radiographic], and hospital admission) were assessed. We evaluated the relationship between patient characteristics and ED health services received with multivariable regression. RESULTS:Children with $4 ED visits (8%) accounted for 24% of all visits and 31% ($1.4 billion) of all costs. As visit frequency increased from 1 to $4, the percentage of children aged ,1 year increased (12.1% to 33.2%) and the percentage of children without a chronic condition decreased (81.9% to 45.6%) (P , .001 for both). Children with $4 ED visits had a higher percentage of visits without medication administration (aside from acetaminophen or ibuprofen), testing, or hospital admission when compared with children with 1 visit (35.4% vs 29.0%; P , .001). Children with $4 ED visits who were aged ,1 year (odds ratio: 3.8; 95% confidence interval: 3.7-3.9) and who were without a chronic condition (odds ratio: 3.1; 95% confidence interval: 3.0-3.1) had the highest likelihood of experiencing this type of visit. CONCLUSIONS:With a disproportionate share of pediatric ED cost and utilization, frequent utilizers, especially infants without a chronic condition, are the least likely to need medications, testing, and hospital admission. Pediatrics 2014;134:e1025-e1031 AUTHORS:

show abstract

“…Homeless are more likely to receive health care in countries with universal access to the health system than those who do not. Although Spain has universally and free access to the health system, during the financial crisis it has been denied for people without health coverage, except for emergency rooms, setting that contributes substantially to high health care costs and represents an inefficient use of health care resources (Milbrett & Halm, 2009). The inclusion of homeless in the health system with accessibility and availability to primary health care and ensuring that they receive help with the complex admission procedures that they often face, is a pre-requisite for effective health interventions.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated to Health Needs from Homeless Perspective in Spain

Martín-Baena¹,

Montero-Piñar²,

Fuertes-Lanzuela³

2016

IJSN

View full text Add to dashboard Cite

Purpose: This pilot study aims to identify factors associated to roofless own health self-perception.Design: Cross-sectional study with a sample of homeless people (n=68) who come for help to one of the homeless service centers founded by a non-profit organization. Socio-demographic characteristics, years living on streets, unhealthy habits, chronic morbidity, basic needs and self-reported physical and mental health were described. To identify factors related to mental and physical health from roofless own perspective, a binary logistic analysis was held.Findings: The majority of participants were under 40 years, male and Spanish, alcohol or drug consumers, 80% have lived in the street for one to five years with high levels of pain and poor mental health conditions. Living on the street over a year, exposure to violence, lack of hygiene and female gender, affect negatively the own perception of physical and mental health conditions. Conclusions: Our results show the different and complex homeless health needs. Given the duration of homelessness affected their health condition, recent roofless homeless should be identified as soon as possible.Clinical relevance and further research: Those providing care for homeless people must promote a more coordinated care, maximizing flexibility and fostering relationships to better response to the multiple and different needs of this one vulnerable population. Further study is needed to allow identify the different experiences of homeless women and men.

show abstract

Characteristics and Predictors of Frequent Utilization of Emergency Services

Cited by 96 publications

References 23 publications

Perceptions and Knowledge on Triage of Nurses Workingin Emergency Departments of Hospitals in the Tamale Metropolis, Ghana.

Perceptions and Knowledge on Triage of Nurses Workingin Emergency Departments of Hospitals in the Tamale Metropolis, Ghana.

Characteristics of Recurrent Utilization in Pediatric Emergency Departments

Factors Associated to Health Needs from Homeless Perspective in Spain

Contact Info

Product

Resources

About