Impact of social isolation and living alone on health service use,
                        morbidity and mortality over time in Central and Eastern Sydney,
                        Australia

Jackson, Tony; Barr, Margo; Welberry, Heidi; Kabir, Alamgir; Harris‐Roxas, Ben; Lloyd, Jane; Blunden, Lou-Anne; Donnelly, Deborah; Goodger, Brendan; Harris, Mark

doi:10.5334/ijic.s4023

Cited by 1 publication

(2 citation statements)

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“…These disparities in ED visits based on race/ethnicity and insurance status may be attributed to structural and systemic differences in health care service access and usual sources of care. Also, living arrangements are considered as a significant factor related to the use of ED (Barrenetxea et al, 2021; Dreyer et al, 2018; Jackson et al, 2021; Lloyd et al, 2022; Zhou et al, 2017). Particularly, several studies have shown that people living alone were more likely to visit the ED (Dreyer et al, 2018; Jackson et al, 2021; Lloyd et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…Also, living arrangements are considered as a significant factor related to the use of ED (Barrenetxea et al, 2021; Dreyer et al, 2018; Jackson et al, 2021; Lloyd et al, 2022; Zhou et al, 2017). Particularly, several studies have shown that people living alone were more likely to visit the ED (Dreyer et al, 2018; Jackson et al, 2021; Lloyd et al, 2022). Moreover, individuals with chronic conditions and a history of health care services utilization, including prior hospitalizations and ED visits, have shown a greater likelihood of future ED visits (Niedzwiecki et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Where Patients Live Matter in Emergency Department Visits in Home Health Care: Rural/Urban Status and Neighborhood Socioeconomic Status

Jung,

Song,

2023

J Appl Gerontol

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An increasing body of evidence highlights the importance of an individual’s place of residence on their health and functional outcomes. This study is based on Outcome and Assessment Information Set data to assess the differences in emergency department visits among Medicare home health care patients by patients' residence location (rural/urban status and neighborhood socioeconomic status). Compared to urban patients, a disproportionately higher proportion of rural patients lived in more or most disadvantaged neighborhoods (83.9% vs. 41.3%). Using linear probability regression models, patients in rural areas (coefficient = .02, p < .001) and disadvantaged neighborhoods (less disadvantaged: coefficient = .02, p < .001; more disadvantaged: coefficient = .034, p < .001; most disadvantaged: coefficient = .042, p < .001) were more likely to experience emergency department visits. Policymakers should consider utilizing area-based target interventions to mitigate gaps in home health care. Also, given that the majority of rural patients reside in disadvantaged neighborhoods, neighborhood characteristics should be considered in addressing rural–urban disparities and improving home health care.

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