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The Combined Influence of Distance and Neighbourhood Deprivation on Emergency Department Attendance in a Large English Population: A Retrospective Database Study

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  • Gavin M Rudge
  • Mohammed A Mohammed
  • Sally C Fillingham
  • Alan Girling
  • Khesh Sidhu
  • Andrew J Stevens

Abstract

The frequency of visits to Emergency Departments (ED) varies greatly between populations. This may reflect variation in patient behaviour, need, accessibility, and service configuration as well as the complex interactions between these factors. This study investigates the relationship between distance, socio-economic deprivation, and proximity to an alternative care setting (a Minor Injuries Unit (MIU)), with particular attention to the interaction between distance and deprivation. It is set in a population of approximately 5.4 million living in central England, which is highly heterogeneous in terms of ethnicity, socio-economics, and distance to hospital. The study data set captured 1,413,363 ED visits made by residents of the region to National Health Service (NHS) hospitals during the financial year 2007/8. Our units of analysis were small units of census geography having an average population of 1,545. Separate regression models were made for children and adults. For each additional kilometre of distance from a hospital, predicted child attendances fell by 2.2% (1.7%–2.6% p

Suggested Citation

  • Gavin M Rudge & Mohammed A Mohammed & Sally C Fillingham & Alan Girling & Khesh Sidhu & Andrew J Stevens, 2013. "The Combined Influence of Distance and Neighbourhood Deprivation on Emergency Department Attendance in a Large English Population: A Retrospective Database Study," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-8, July.
    • Handle: RePEc:plo:pone00:0067943
    DOI: 10.1371/journal.pone.0067943
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    References listed on IDEAS

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    1. Béland, François & Lemay, Anne & Boucher, Marcel, 1998. "Patterns of visits to hospital-based emergency rooms," Social Science & Medicine, Elsevier, vol. 47(2), pages 165-179, July.
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    Cited by:

    1. Wojciech Kisiała & Izabela Rącka & Katarzyna Suszyńska, 2022. "Population Access to Hospital Emergency Departments: The Spatial Analysis in Public Health Research," IJERPH, MDPI, vol. 19(3), pages 1-15, January.
    2. Neil, Amanda L. & Chappell, Kate & Wagg, Fiona & Miller, April & Judd, Fiona, 2021. "The Tasmanian Conception to Community (C2C) Study Database 2008-09 to 2013-14: Using linked health administrative data to address each piece in the puzzle," Social Science & Medicine, Elsevier, vol. 284(C).
    3. Chien-Lung Chan & Wender Lin & Nan-Ping Yang & K Robert Lai & Hsin-Tsung Huang, 2015. "Pre-Emergency-Department Care-Seeking Patterns Are Associated with the Severity of Presenting Condition for Emergency Department Visit and Subsequent Adverse Events: A Timeframe Episode Analysis," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-16, June.

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