Where health and welfare meet: social deprivation among patients in the emergency department

Gordon, James A.; Chudnofsky, Carl R.; Hayward, Rodney A.

doi:10.1093/jurban/78.1.104

Cited by 36 publications

(20 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…9 This study and others speak to the role of the ED not just as a medical safety net in the USA, but also as a social safety net. 10,11 Indeed, some authors have described the ED as a Bsocial welfare institution.^1…”

Section: Ed Visits For Homelessness In Nyc After Hurricane Sandymentioning

confidence: 99%

Emergency Department Visits for Homelessness or Inadequate Housing in New York City before and after Hurricane Sandy

et al. 2016

View full text Add to dashboard Cite

Section: Ed Visits For Homelessness In Nyc After Hurricane Sandymentioning

confidence: 99%

Emergency Department Visits for Homelessness or Inadequate Housing in New York City before and after Hurricane Sandy

et al. 2016

View full text Add to dashboard Cite

“…These patients are often of low socioeconomic status, 3,4 have multiple medical, psychiatric and social disorders 5,6 and have a high mortality. 7 Frequent use of the health care system contributes to longer wait times and affects the quality of care.…”

mentioning

confidence: 99%

Effectiveness of quality improvement strategies for coordination of care to reduce use of health care services: a systematic review and meta-analysis

Tricco

Antony

Ivers

et al. 2014

CMAJ

131

101

View full text Add to dashboard Cite

Background: Frequent users of health care services are a relatively small group of patients who account for a disproportionately large amount of health care utilization. We conducted a metaanalysis of the effectiveness of interventions to improve the coordination of care to reduce health care utilization in this patient group. Methods:We searched MEDLINE, Embase and the Cochrane Library from inception until May 2014 for randomized clinical trials (RCTs) assessing quality improvement strategies for the coordination of care of frequent users of the health care system. Articles were screened, and data abstracted and appraised for quality by 2 reviewers, independently. Random effects meta-analyses were conducted. Results:We identified 36 RCTs and 14 companion reports (total 7494 patients). Significantly fewer patients in the intervention group than in the control group were admitted to hospital (relative risk [RR] 0.81, 95% confidence interval [CI] 0.72-0.91). In subgroup analyses, a similar effect was observed among patients with chronic medical conditions other than mental illness, but not among patients with mental illness. In addition, significantly fewer patients 65 years and older in the intervention group than in the control group visited emergency departments (RR 0.69, 95% CI 0.54-0.89). Interpretation:We found that quality improvement strategies for coordination of care reduced hospital admissions among patients with chronic conditions other than mental illness and reduced emergency department visits among older patients. Our results may help clinicians and policy-makers reduce utilization through the use of strategies that target the system (team changes, case management) and the patient (promotion of self-management). AbstractSee related commentary, www.cmaj.ca/lookup

show abstract

“…In addition, it is known that material deprivation is associated with raised rates of ED attendance and emergency hospital admission. 35 36 Keene and colleagues 37 found that patients who were repeated attenders at EDs were commonly known to a range of other health and social care providers, indeed that repeated A&E use might be a trigger for identifying the need for intensive multidisciplinary intervention.…”

Section: Access To Social Care Servicesmentioning

confidence: 99%

Social care's impact on emergency medicine: a model to test

Bywaters

McLeod

2003

Emergency Medicine Journal

View full text Add to dashboard Cite

Where health and welfare meet: social deprivation among patients in the emergency department

Cited by 36 publications

References 15 publications

Emergency Department Visits for Homelessness or Inadequate Housing in New York City before and after Hurricane Sandy

Emergency Department Visits for Homelessness or Inadequate Housing in New York City before and after Hurricane Sandy

Effectiveness of quality improvement strategies for coordination of care to reduce use of health care services: a systematic review and meta-analysis

Social care's impact on emergency medicine: a model to test

Contact Info

Product

Resources

About