Emergency Department Frequent Utilization for Non-Emergent Presentments: Results from a Regional Urban Trauma Center Study

PloS One
Joshua G Behr, Rafael Diaz

Abstract

First, to test a model of the drivers of frequent emergency department utilization conceptualized as falling within predisposing, enabling, and need dimensions. Second, to extend the model to include social networks and service quality as predictors of frequent utilization. Third, to illustrate the variation in thresholds that define frequent utilization in terms of the number of emergency department encounters by the predictors within the model. Primary data collection over an eight week period within a level-1 trauma urban hospital's emergency department. Representative randomized sample of 1,443 adult patients triaged ESI levels 4-5. Physicians and research staff interviewed patients as they received services. Relationships with the outcome variable, utilization, were tested using logistic regression to establish odds-ratios. 70.6 percent of patients have two or more, 48.3 percent have three or more, 25.3 percent have four or more, and 14.9 percent have five or more emergency department visits within 12 months. Factors associated with frequent utilization include gender, race, poor mental health, mental health drugs, prescription drug abuse, social networks, employment, perceptions of service quality, seriousness of conditio...Continue Reading

References

Oct 1, 1992·The American Journal of Orthopsychiatry·D K Padgett, E L Struening
Mar 18, 1992·JAMA : the Journal of the American Medical Association·J JohnsonG L Klerman
May 1, 1987·Journal of the American Geriatrics Society·S A Baum, L Z Rubenstein
Dec 1, 1981·Medical Care·L A Aday, R M Andersen
Feb 1, 1995·Social Science & Medicine·R E Malone
Mar 1, 1995·Journal of Health and Social Behavior·R M Andersen
Jun 22, 1994·JAMA : the Journal of the American Medical Association·D W BakerR H Brook
Jun 22, 1994·JAMA : the Journal of the American Medical Association·K J RaskS E McNagny
Mar 1, 1993·American Journal of Public Health·K GrumbachA Bindman
Dec 1, 1996·Annals of Emergency Medicine·D W BakerR H Brook
Jun 1, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·L L SpillaneS M Schneider
Jun 1, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J McCuskerB Connolly
Jun 1, 1997·American Journal of Public Health·D W BakerJ Nurss
Jul 1, 1997·Clinical Therapeutics·K A HeithoffJ Peters
Mar 21, 1998·Archives of Internal Medicine·C P QuesenberryA Jacobson
Aug 26, 1998·Medical Care·L A PetersenT A Brennan
Oct 31, 1998·Annals of Emergency Medicine·R H Lucas, S M Sanford
Nov 25, 1998·The American Journal of Emergency Medicine·T KneL Spillane
Dec 3, 1999·Journal of Health Care for the Poor and Underserved·N Sachs-EricssonH B Paniucki
Apr 25, 2000·Archives of Family Medicine·J M GillM Nsereko
Apr 28, 2000·Annals of Emergency Medicine·B C SunH R Burstin
Jul 25, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J H MandelbergM A Kohn
Aug 5, 2000·Health Affairs·K A PhillipsL A Aday
Sep 22, 2000·The American Journal of Emergency Medicine·R L OkinC Wachsmuth
Sep 19, 2001·Health & Social Care in the Community·J KeeneG Janacek
Nov 7, 2001·Emergency Medicine Journal : EMJ·M Olsson, H Hansagi
May 4, 2002·American Journal of Public Health·Margot B KushelAndrew R Moss
Sep 5, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Joshua H SarverDavid W Baker
Nov 25, 2003·Emergency Medicine·Andrew Wesley DentLachlan Robert McGregor
Jan 8, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Paula TanabeJames G Adams
Jan 31, 2004·The Journal of Emergency Medicine·Edwin D Boudreaux, Erin L O'Hea
Feb 5, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Sara B HazlettChiadi U Onyike
Mar 6, 2004·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Lawrence J CookLenora M Olson
Apr 13, 2004·Journal of Occupational and Environmental Medicine·Ron Z GoetzelWendy Lynch
Jul 1, 2004·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Pamela L DavidsonE Richard Brown
Aug 5, 2004·Psychiatric Services : a Journal of the American Psychiatric Association·Jeffrey S HarmanMark J Edlund
Sep 17, 2004·Journal of Advanced Nursing·Jane Bentley, Julienne Meyer
Apr 1, 2005·Obesity Research·Klea D Bertakis, Rahman Azari
Apr 19, 2005·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Fidela S J BlankAnn M Maynard
Sep 1, 2005·Obesity Research·Feifei WangDee W Edington
Feb 16, 2006·Family Practice·Emmanuel ScheppersJoost Dekker
Jun 20, 2006·Annals of Emergency Medicine·Kelly A HuntMichael L Callaham

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Citations

Jul 5, 2016·International Journal of Environmental Research and Public Health·Joshua G BehrMuge Akpinar-Elci
Jan 11, 2019·Clinical Spine Surgery : a Spine Publication·Nikhil JainSafdar N Khan
Sep 25, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kristin L RisingRhea E Powell
Jan 11, 2020·Alzheimer's & Dementia : Translational Research & Clinical Interventions·Andrea L Gilmore-BykovskyiMegan Zuelsdorff
Jul 26, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Beau AbarFlavia Nobay
Jul 31, 2018·Advanced Emergency Nursing Journal·Carol Anne CelonaValsamma Joy
Aug 19, 2020·Community Mental Health Journal·David S KrollDavid F Gitlin
Nov 7, 2019·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Judy A K BornaisMaher M El-Masri
Aug 31, 2021·Journal of Orthopaedics·Tom J CrijnsAmirreza Fatehi

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